Provider Demographics
NPI:1841657848
Name:HAGERSTOWN REPRODUCTIVE HEALTH SERVICES
Entity type:Organization
Organization Name:HAGERSTOWN REPRODUCTIVE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-251-9124
Mailing Address - Street 1:966 HUNGERFORD DR
Mailing Address - Street 2:SUITE 24
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1714
Mailing Address - Country:US
Mailing Address - Phone:301-251-9124
Mailing Address - Fax:
Practice Address - Street 1:160 W WASHINGTON ST
Practice Address - Street 2:100
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4746
Practice Address - Country:US
Practice Address - Phone:301-733-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSA000014261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility