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FAMILY HEALTHCARE OF HAGERSTOWN
NPI 1194276832
Clinic/Center - Dental in Hagerstown, MD

Active since October 18, 2016CLIA 21D0893971 · Waiver
201 S CLEVELAND AVE, HAGERSTOWN, MD 21740(301) 745-3777(301) 393-3459 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Oct 18, 2016 (2 updates tracked since 2016).

About Family Healthcare Of Hagerstown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTHCARE OF HAGERSTOWN (NPI 1194276832) is a healthcare organization registered as a dental in Hagerstown, Maryland and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists David Becker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194276832
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWALNUT STREET COMMUNITY HEALTH CENTER INC.
Location Address201 S CLEVELAND AVEHagerstown, MD 21740-5745
Mailing Address201 South Cleveland Ave.Hagerstown, MD 21740 · (301) 745-3777 · Fax (301) 393-3459
Phone(301) 745-3777
Fax(301) 393-3459
Organization SubpartNo
Authorized OfficialDavid BeckerCfo · (301) 745-3777
Enumeration DateOctober 18, 2016
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1194276832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
201 S CLEVELAND AVE, Hagerstown, MD 21740
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Other Names 1

Doing Business AsFamily Healthcare Of Hagerstown

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0893971

Family Healthcare Of Hagerstown · Hagerstown, MD
Active · expires May 8, 2027
CLIA Number21D0893971
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorGnanaraj J. Koilpillai
Laboratory Phone(301) 745-3777
Laboratory LocationFamily Healthcare Of Hagerstown201 S Cleveland Avenue, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL JOSEPH ANDREW HENNIS MD
Pediatrics
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
MRS. CALISTA CHRISTINE DICKEY L. AC., DIPL. AC.
Acupuncturist
201 S CLEVELAND AVE, SUITE 404
HAGERSTOWN, MD 21740
Washington County (301) 797-2297
KATHRYN ANN GUFFIN RDH
Dental Hygienist
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
WALNUT STREET COMMUNITY HEALTH CENTER
Dentist (Dental Public Health)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
KATHERINE GRUBER WAFER CRNP
Nurse Practitioner (Family)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
TIFFANI SARAH GRAVES
Dentist (General Practice)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
MS. SHARON ROSE MARREN LCSW-C
Social Worker (Clinical)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
STEPHANIE ANN-FOGLE MCMILLAN FNP-C
Nurse Practitioner (Family)
201 S CLEVELAND AVE
HAGERSTOWN, MD 21740
Washington County (301) 745-3777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walnut Street Community Health Center Inc.'s NPI number?

The NPI number for Walnut Street Community Health Center Inc. is 1194276832. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Family Healthcare Of Hagerstown.

Where is Walnut Street Community Health Center Inc. located?

Walnut Street Community Health Center Inc. is located at 201 S Cleveland Ave, Hagerstown, MD 21740. The listed phone number is (301) 745-3777.

What is Walnut Street Community Health Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Walnut Street Community Health Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0893971) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walnut Street Community Health Center Inc. accept?

Health plans from UnitedHealthcare list Walnut Street Community Health Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walnut Street Community Health Center Inc. was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.