Allegany County Health Department/Joseph S Massie Unit
Organization Active NPI Substance Abuse Rehabilitation Facility · Cumberland, MD
NPI 1013286137 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1013286137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- ALLEGANY COUNTY HEALTH DEPARTMENT/JOSEPH S MASSIE UNIT
- Practice address
- 10102 Country Club Rd
Cumberland, MD 21502-8339 - Phone
- (301) 777-2285
- Fax
- (301) 777-5832
- NPI assigned
- Dec 19, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Junie Delizo, M.D. , M.P.H.
- Title
- Health Officer
- Phone
- (301) 759-5001
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 16
Practitioners 12
-
Jennifer Price Corder, M.D.
-
Rachael Greise, LGPC
-
Benjamin Hendershot, LCSW-C
-
Mohamed A Kamel Elsayed, MD, MS
-
Mark A Roeder, LCSW-C
-
Kylie S Smith, LCPC
-
Vanessa Walker, LCPC
-
Julia Ann Wiland, LCSW-C
-
Allison Zarger, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000900 | MD | Part B Supplier - Clinic/Group Practice | 0042258683 |
Receives reassigned benefits from 15 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cumberland, MD |
National Provider Directory
- Tax ID family
- Achd-Family Planning
- Part of
- Achd-Family Planning
Locations
81 Baltimore St
Cumberland, MD 21502
Phone (301) 268-7900
720 Furnace St
Cumberland, MD 21502
Phone (301) 777-8422
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
11400 Moss Ave Extended
Cumberland, MD 21502
Phone (301) 729-1200
19393 Shaft Rd
Frostburg, MD 21532
Phone (301) 689-1535
7 W Hanekamp St
Lonaconing, MD 21539
Phone (301) 463-6215
32 Main St
Westernport, MD 21562
Phone (301) 359-9970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
10102 Country Club Rd
Cumberland, MD 21502-8339
Mailing address
15203 Willowbrook Road
Cumberland, MD 21502
Phone (301) 759-5050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351541 | Other | MAMSI | |
| IO | Other | MAGELLAN | |
| NU1 | Other | GHMSI | |
| 02IO | Other | MAGELLAN | |
| 277593 | Other | MAMSI | |
| 5098907 | Other | UBH (MCO) | |
| 702001500 | Medicaid | MD | |
| 323817 | Other | VALUE OPTIONS | |
| 604116-02 | Other | CAREFIRST BCBS | |
| 055998 | Other | PRIORITY PARTNERS (MCO) |
Other names
- Joseph S. Massie Unit
Other providers in Cumberland, MD
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County HRDC Mobility Management
- Allegany Imaging, PC
- Allegany Imaging, PC
- Allegany Imaging, PC
- Allegany Imaging, PC
All providers in Cumberland, MD · Substance Abuse Rehabilitation Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.