NPIMap

Organization Active NPI

Day Reporting Center

  • State or Local Public Health Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1114477890
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
DAY REPORTING CENTER
Practice address
1302 Pennsylvania Ave
Hagerstown, MD 21742-3108
Phone
(240) 313-3492
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Jane Barlup
Title
Fiscal Accounts Clerk
Phone
(240) 313-3492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1302 Pennsylvania Ave
Hagerstown, MD 21742-3108

Mailing address

101 Tandy Dr
Hagerstown, MD 21740-5180

Other identifiers 1

IdentifierTypeStateIssuer
S285MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Washington County Health Department-Central23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

101 Tandy Dr
Hagerstown, MD 21740
Phone (301) 898-2627

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1114477890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TANDY DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423108",
            "telephone_number": "240-313-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY REPORTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "BARLUP",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "FISCAL ACCOUNTS CLERK",
        "authorized_official_telephone_number": "240-313-3492"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S285",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.