OrganizationActive
Medical Practices of Antietam LLC
NPI 1386599306 · Student Health Clinic/Center · Hagerstown, MD
Provider details
- NPI number
- 1386599306
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Medical Practices of Antietam LLC
- Authorized official
- Joshua Repac, Cfo
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.