Phoenix Health Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

21D2057137 Issued in MD

Legal business name

PHOENIX HEALTH CENTER

Practice address

217 E Antietam St
Hagerstown, MD 21740-5724

Phone

(240) 420-0000

Fax

(240) 420-0002

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Phoenix Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Health Center, LLC

  • Methadone Clinic
  • Hagerstown, MD
  • NPI 1992009864
  NPD tax ID

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1487049334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 THE TER",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423227",
            "telephone_number": "240-420-0000",
            "fax_number": "240-420-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724",
            "telephone_number": "240-420-0000",
            "fax_number": "240-420-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D2057137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Pfinayi
• Meredith Myers Phares
• Jordan J Phillips
• Stephanie Michelle Phillips
• Phoenix Behavioral Center,LLC
• Phoenix Health Center LLC
• Phoenix Health Center, LLC
• Phoenix of Health, LLC
• Phoenix of Health, LLC
• Physician Group-Western Maryland Center Ccu

• Clinical Medical Laboratory in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.