NPIMap

Organization Active NPI

Worcester County Health Department

  • Community/Behavioral Health Agency
  • Salisbury, MD
National Provider Identifier
1073802138
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
905074 Issued in MD
Legal business name
WORCESTER COUNTY HEALTH DEPARTMENT
Practice address
926 Snow Hill Road
Cottage 200, Holly Center, Center 4 Clean Start
Salisbury, MD 21804
Phone
(410) 742-3460
Fax
(410) 742-5810
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Heather Barton
Title
Director, Administrative Services
Phone
(410) 632-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905074 MD Primary

Addresses

Primary practice location

926 Snow Hill Road
Cottage 200, Holly Center, Center 4 Clean Start
Salisbury, MD 21804

Mailing address

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 632-1100

Other identifiers 1

IdentifierTypeStateIssuer
367831800MedicaidMD

Other names 1

  • Center 4 Clean Start Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000679 MD Part B Supplier - Clinic/Group Practice 8729045083 Receives reassigned benefits from 27 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berlin, MD; Ocean City, MD; Pocomoke City, MD; Salisbury, MD; Snow Hill, MD

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Worcenter Co Health Dep30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

926 Snow Hill Rd
#200
Salisbury, MD 21804
Phone (410) 742-3460

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1073802138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SNOW HILL ROAD",
            "address_2": "COTTAGE 200, HOLLY CENTER, CENTER 4 CLEAN START",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-742-3460",
            "fax_number": "410-742-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "410-632-1100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367831800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center 4 Clean Start",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.