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Contact Information

ANTIETAM HEALTH SERVICES, INC
11110 MEDICAL CAMPUS RD
SUITE 105
HAGERSTOWN, MD21742-6700
 Phone: 301-714-4020
 Fax: 301-714-4015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ANTIETAM HEALTH SERVICES, INC

NPI # 1275697930
LBN Legal business name ANTIETAM HEALTH SERVICES, INC
Authorized official MICHAEL ZAMPELLI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MD License # D00749
MD License # PW0108
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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