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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1376498303
Clinic/Center - Student Health in Hagerstown, MD

Active since March 04, 2026
1101 S POTOMAC ST, HAGERSTOWN, MD 21740(301) 766-8369 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Practices Of Antietam Llc NPPES

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

MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1376498303) is a healthcare organization registered as a student health in Hagerstown, Maryland and active in the NPI registry since March 2026. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376498303
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address1101 S POTOMAC STHagerstown, MD 21740-7322
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (301) 790-8000
Phone(301) 766-8369
Organization SubpartYes
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1376498303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1101 S POTOMAC ST, Hagerstown, MD 21740
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Other Providers at the Same Location NPPES 3

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

WASHINGTON COUNTY HEALTH DEPARTMENT
Public Health or Welfare
1101 S POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (240) 313-3492
MERITUS MEDICAL CENTER INC
Clinic/Center (Student Health)
1101 S POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 766-8369
AMY GRANTHAM LICSW
Social Worker (Clinical)
1101 S POTOMAC ST
HAGERSTOWN, MD 21740
Washington County (301) 766-8369

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 Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1376498303. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 1101 S Potomac St, Hagerstown, MD 21740. The listed phone number is (301) 766-8369.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.