Organization · Type 2 NPI

Walnut Street Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Hagerstown, MD

NPI number 1497222103 Active

Practice location

221 E Baltimore St
Hagerstown, MD 21740-6109

Call (301) 745-3777 Map

Mailing address

201 S Cleveland Ave
Hagerstown, MD 21740-5745

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Antietam Family Health, LLCFamily Nurse Practitioner Hagerstown, MD NPI 1003693102

Other federally qualified health center (fqhc) providers in Hagerstown

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NPI record

NPI: 1497222103
Entity type: Organization (Type 2)
Issued: Oct 31, 2018
Last updated: Jul 22, 2020
Status: Active
Subpart: Yes of Walnut Street Community Health Center, Inc.

Other names

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Family Healthcare of Hagerstown · doing business as
Family Healthcare of Hagerstown · doing business as

Authorized official

David F Becker
CFO
(301) 745-3777

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497222103

Walnut Street Community Health Center, Inc.'s National Provider Identifier is 1497222103, issued on Oct 31, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hagerstown, MD. The record was last updated on Jul 22, 2020.