Phoenix Health Center, Llc

LBN: Phoenix Health Center, Llc
Phoenix Health Center, Llc is an health care organization with primary practice located at 101 King St , Hagerstown MD 21740-5732. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, 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 (301) 447-2361, or through Roby, William J via phone (301) 447-2360.

Contact Information

Primary practice address
101 King St Hagerstown MD 21740-5732
Phone: (301) 447-2361
Fax: (301) 447-3673
Website:
Map and Directions
Authorized official contact:
Name: Roby, William J MBA
Phone: (301) 447-2360

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Maryland
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Maryland
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Maryland
Ambulatory Health Care Facilities / Methadone 261QM2800X Maryland
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Maryland

Profile Details

NPI number 1992009864
LBN Legal business name Phoenix Health Center, Llc
DBA Doing business as
Authorized official Roby, William J MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2011
Last updated Jan 6th, 2011 - about 15 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 1992009864 NPPES
Maryland MEDICAID PENDING

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