<Unavail>
LBN: Phoenix Health Center Llc
<Unavail> is an health care organization with primary practice located at 217 E Antietam St , Hagerstown MD 21740-5724. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Phoenix Health Center Llc can be contacted via phone (240) 420-0000, or through Higham, Jay via phone (214) 365-6112.
Contact Information
Primary practice address
217 E Antietam St
Hagerstown MD 21740-5724
Phone: (240) 420-0000
Fax: (240) 420-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | MD10126M | Maryland |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1679971097 |
|---|---|
| LBN Legal business name | Phoenix Health Center Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Higham, Jay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 17th, 2014 |
| Last updated | Dec 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679971097 | NPPES |
| Maryland | MEDICAID | 330305500 |
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