| NPI | 1285156091 |
|---|---|
| Former Legal Business Name | MONOCACY HEALTH PARTNERS LLC |
| Doing Business As | FREDERICK HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELLE K MAHAN Sr. Vice President And CFO 240-566-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-01-24 |