Frederick Psychiatric Medicine

LBN: Frederick Psychiatric Medicine
Frederick Psychiatric Medicine is an health care organization with primary practice located at 13218 Brooklane Dr , Hagerstown MD 21742-1435. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Frederick Psychiatric Medicine can be contacted via phone (240) 527-2082, or through Robinson, Corvin V. via phone (301) 606-7785.

Contact Information

Primary practice address
13218 Brooklane Dr Hagerstown MD 21742-1435
Phone: (240) 527-2082
Fax: (240) 310-1927
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Corvin V.
Phone: (301) 606-7785

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0044857 Maryland

Profile Details

NPI number 1861626707
LBN Legal business name Frederick Psychiatric Medicine
DBA Doing business as
Authorized official Robinson, Corvin V.
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2009
Last updated Dec 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861626707 NPPES
Maryland Other 60054 AETNA
Maryland MEDICAID MDMCD AETNA
Maryland MEDICAID SKMDO AETNA
Maryland Other SB580 AETNA
Maryland Other SX173 AETNA
Maryland Other 00823 AETNA

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