NPIMap

Organization Active NPI

Frederick Health Hospital Inc

  • Clinical Medical Laboratory
  • Frederick, MD
National Provider Identifier
1982109351
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D0692298 Issued in MD
Legal business name
FREDERICK HEALTH HOSPITAL INC
Practice address
1562 Opossumtown Pike Ste 103
Frederick, MD 21702-4337
Phone
(240) 566-4500
NPI assigned
Mar 28, 2018
Organization subpart
Yes
Parent organization
FREDERICK HEALTH HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Jenny Fitzpatrick
Title
Director, Professional Fees Revenue
Phone
(240) 439-8774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D0692298 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike Ste 103
Frederick, MD 21702-4337

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3337

Other identifiers 1

IdentifierTypeStateIssuer
21D0692298OtherMDCLIA

Other names 2

  • Frederick Health Hematology Laboratory Doing business as
  • Frederick Memorial Hospital Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506001053 MD Part B Supplier - Independent Clinical Laboratory 0446149256 Practice locations: Frederick, MD

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Parkview Medical Group36 organizations share this tax ID, including this one
Part of
Parkview Medical Group

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1982109351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3337",
            "fax_number": "240-566-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024337",
            "telephone_number": "240-566-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK HEALTH HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HEALTH HOSPITAL INC",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR, PROFESSIONAL FEES REVENUE",
        "authorized_official_telephone_number": "240-439-8774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0692298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D0692298",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Health Hematology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Health Hematology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Memorial Hospital Inc",
            "code": "4",
            "type": "Former Legal Business 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 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.