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EVERSIDE HEALTH WASHINGTON COUNTY NPI 1164292371


NPI Information

NPI: 1164292371
Provider Name: EVERSIDE HEALTH WASHINGTON COUNTY
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 26D2300850

Address:
1125 OPAL CT STE 1004
HAGERSTOWN, MD
ZIP 21740
Phone: (704) 661-1380
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EVERSIDE HEALTH WASHINGTON COUNTY is a preventive medicine/occupational environmental medicine preventive medicine in Hagerstown, MD. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. EVERSIDE HEALTH WASHINGTON COUNTY NPI is 1164292371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1125 OPAL CT STE 1004
HAGERSTOWN, MD
ZIP 21740-934
Phone: (704) 661-1380

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The CLIA number assigned to this NPI record is 26D2300850 - other - chronic mgt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2024 and was last updated on 1/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.