Way Station At Frederick County | |
230 W Patrick St Frederick MD 21701-6945 | |
(301) 662-0099 | |
(301) 662-1071 |
Full Name | Way Station At Frederick County |
---|---|
Speciality | Clinic/center - Rehabilitation |
Location | 230 W Patrick St, Frederick, Maryland |
Authorized Official Name and Position | Scott Rose (C E O) |
Authorized Official Contact | 3016620099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Way Station At Frederick County Po Box 3826 Frederick MD 21705-3826 Ph: (301) 662-0099 | Way Station At Frederick County 230 W Patrick St Frederick MD 21701-6945 Ph: (301) 662-0099 |
NPI Number | 1053492934 |
---|---|
Provider Enumeration Date | 10/18/2006 |
Last Update Date | 12/22/2021 |
Certification Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053492934 | NPI | - | NPPES |
588931600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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