FAMILY HEALTHCARE OF HAGERSTOWN
NPI 1497222103
Clinic/Center - Federally Qualified Health Center (FQHC) in Hagerstown, MD

Active since October 31, 2018CLIA 21D0893971 · Waiver
221 E BALTIMORE ST, HAGERSTOWN, MD 21740(301) 745-3777 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 22, 2020, Oct 31, 2018 (2 updates tracked since 2018).

About Family Healthcare Of Hagerstown NPPES

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

FAMILY HEALTHCARE OF HAGERSTOWN (NPI 1497222103) is a healthcare organization registered as a federally qualified health center (fqhc) in Hagerstown, Maryland and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists David F Becker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497222103
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWALNUT STREET COMMUNITY HEALTH CENTER, INC.
Location Address221 E BALTIMORE STHagerstown, MD 21740-6109
Mailing Address201 S Cleveland AveHagerstown, MD 21740-5745 · (301) 745-3777 · Fax (301) 393-3459
Organization SubpartYes
Authorized OfficialDavid F BeckerCfo · (301) 745-3777
Enumeration DateOctober 31, 2018
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
NPI 1497222103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
221 E BALTIMORE ST, Hagerstown, MD 21740

Other Names 1

Doing Business AsFamily Healthcare Of Hagerstown

Other Identifiers 1

Medicaid401662900MD

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

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

Nurse Practitioner (Family)
221 E BALTIMORE ST
HAGERSTOWN, MD 21740

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 1497222103. It was assigned to this organization in the NPPES registry on October 31, 2018. 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 221 E Baltimore St, 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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.

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.