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BLACK ROCK INTEGRATIVE MEDICINE
NPI 1285102764
Clinic/Center - Multi-Specialty in Hagerstown, MD

Active since November 02, 2018
120 N POTOMAC ST, HAGERSTOWN, MD 21740(301) 790-4938(301) 850-2135 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Black Rock Integrative Medicine NPPES

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

BLACK ROCK INTEGRATIVE MEDICINE (NPI 1285102764) is a healthcare organization registered as a multi-specialty in Hagerstown, Maryland and active in the NPI registry since November 2018. The organization lists Sheri Denham, Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1285102764
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLACK ROCK INTEGRATIVE MEDICINE
Location Address120 N POTOMAC STHagerstown, MD 21740-4810
Mailing Address20615 Woodbridge DrHagerstown, MD 21742-3188 · (301) 790-4938 · Fax (301) 850-2135
Phone(301) 790-4938
Fax(301) 850-2135
Organization SubpartNo
Authorized OfficialSheri DenhamNurse Practitioner/ Owner · (301) 790-4938
Enumeration DateNovember 2, 2018
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1285102764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
120 N POTOMAC ST, Hagerstown, MD 21740
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Other Providers at the Same Location NPPES 7

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

KELLY ANN NYE SMALL
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
ALISON CAITLYN CLEARY NP-C
Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
BLACK ROCK INTEGRATIVE MEDICINE
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
JEFFREY J EWART
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
EMMA BAER PEAKE FNP
Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
MRS. STEPHANIE MICHELLE BYERS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938
MS. JAMI WILSON RN
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 790-4938

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 Black Rock Integrative Medicine's NPI number?

The NPI number for Black Rock Integrative Medicine is 1285102764. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is Black Rock Integrative Medicine located?

Black Rock Integrative Medicine is located at 120 N Potomac St, Hagerstown, MD 21740. The listed phone number is (301) 790-4938.

What is Black Rock Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Black Rock Integrative Medicine was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.