Walnut Street Community Health Center
Clinic/Center, Dental in Hagerstown, MD. Organization (NPI-2).
NPI number1982804977
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1982804977
- Entity type
- Organization (NPI-2)
- Legal business name
- Walnut Street Community Health Center
- Organization subpart
- Yes
- Enumeration date
- Jul 19, 2007
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | MD | Yes |
Other names
- Walnut Street Community Health Center / Dental (Other Name)
Practice location
201 S Cleveland AveHagerstown, MD 21740-5745
Phone 301-745-3777 · Fax 301-393-3463
Mailing address
201 S Cleveland AveHagerstown, MD 21740-5745
Phone 301-745-3777 · Fax 301-393-3463
Authorized official
Angela Munson
Office Manager
3017453777
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