NPIMap

Organization Active NPI

Allegany County Health Department/Joseph S Massie Unit

  • Substance Abuse Rehabilitation Facility
  • Cumberland, MD
National Provider Identifier
1013286137
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 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
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Junie Delizo, M.D. , M.P.H.
Title
Health Officer
Phone
(301) 759-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

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 10

IdentifierTypeStateIssuer
02IOOtherMAGELLAN
604116-02OtherCAREFIRST BCBS
IOOtherMAGELLAN
702001500MedicaidMD
NU1OtherGHMSI
5098907OtherUBH (MCO)
055998OtherPRIORITY PARTNERS (MCO)
323817OtherVALUE OPTIONS
351541OtherMAMSI
277593OtherMAMSI

Other names 1

  • Joseph S. Massie Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Allegany Cty Health Dep17 organizations share this tax ID, including this one
Part of
Allegany Cty Health Dep

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

10102 Country Club Rd SE
Ste 4
Cumberland, MD 21502

11400 Moss Ave Extended
Cumberland, MD 21502
Phone (301) 729-1200

720 Furnace St
Cumberland, MD 21502
Phone (301) 777-8422

81 Baltimore St
Cumberland, MD 21502
Phone (301) 268-7900

19393 Shaft Rd
Frostburg, MD 21532
Phone (301) 689-1535

32 Main St
Westernport, MD 21562
Phone (301) 359-9970

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1013286137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 WILLOWBROOK ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-759-5050",
            "fax_number": "301-777-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 COUNTRY CLUB RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028339",
            "telephone_number": "301-777-2285",
            "fax_number": "301-777-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY COUNTY HEALTH DEPARTMENT/JOSEPH S MASSIE UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2011-12-19",
        "last_updated": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "DELIZO",
        "authorized_official_first_name": "JUNIE",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "301-759-5001",
        "authorized_official_credential": "M.D. , M.P.H."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "02IO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "604116-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702001500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "NU1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH (MCO)",
            "identifier": "5098907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS (MCO)",
            "identifier": "055998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "323817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "351541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "277593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph S. Massie Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Joseph S. Massie Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.