Organization Active NPI

Allegany County Health Department

  • Community/Behavioral Health Agency
  • Cumberland, MD
National Provider Identifier
1043600794
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
905407 Issued in MD
Legal business name
ALLEGANY COUNTY HEALTH DEPARTMENT
Practice address
12503 Willowbrook Rd
Cumberland, MD 21502-2554
Phone
(301) 759-5050
Fax
(301) 777-5630
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Dr. Sue V Raver, M.D., M.P.H.
Title
Allegany County Health Officer
Phone
(301) 759-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905407 MD Primary

Addresses

Primary practice location

12503 Willowbrook Rd
Cumberland, MD 21502-2554

Mailing address

PO Box 1745
Cumberland, MD 21501-1745
Phone (301) 759-5000

Other identifiers 1

IdentifierTypeStateIssuer
323817OtherMDVALUE OPTIONS

Other names 1

  • Behavioral Health Buprenorphine Other name

National Provider Directory

National Provider Directory
Tax ID family
Achd-Infant Toddler17 organizations share this tax ID, including this one
Part of
Achd-Infant Toddler

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1043600794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1745",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011745",
            "telephone_number": "301-759-5000",
            "fax_number": "301-777-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022554",
            "telephone_number": "301-759-5050",
            "fax_number": "301-777-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "RAVER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ALLEGANY COUNTY HEALTH OFFICER",
        "authorized_official_telephone_number": "301-759-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "323817",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Buprenorphine",
            "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 Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.