Organization Active NPI

Hillcrest School-Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Frederick, MD
National Provider Identifier
1285175299
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HILLCREST SCHOOL-BASED HEALTH CENTER
Practice address
1285 Hillcrest Dr
Frederick, MD 21703-1396
Phone
(240) 236-3275
Fax
(240) 236-3293
NPI assigned
Mar 10, 2017
Organization subpart
Yes
Parent organization
CITY OF FREDERICKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Spurrier
Title
Director
Phone
(301) 600-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1285 Hillcrest Dr
Frederick, MD 21703-1396

Mailing address

100 S Market St
Frederick, MD 21701-5527
Phone (301) 600-1506

Other identifiers 1

IdentifierTypeStateIssuer
080142OtherMDDHMH LETTER OF PERMIT EXCEPTION

Other names 1

  • Frederick Community Action Agency Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2130235Frederick Community Action Agency - Hillcrest SBHC1285 Hillcrest Drive, Frederick, MD 21703Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory
Part of
Lincoln School-Based Health Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1285175299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015527",
            "telephone_number": "301-600-1506",
            "fax_number": "301-662-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HILLCREST DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217031396",
            "telephone_number": "240-236-3275",
            "fax_number": "240-236-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST SCHOOL-BASED HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF FREDERICK",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SPURRIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-600-3955"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH LETTER OF PERMIT EXCEPTION",
            "identifier": "080142",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Community Action Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.