NPIMap

Organization Active NPI

Garrett County Substance Abuse

  • Community/Behavioral Health Agency
  • Oakland, MD
National Provider Identifier
1124397914
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
STATE AGENCY Issued in MD
Legal business name
GARRETT COUNTY SUBSTANCE ABUSE
Practice address
1025 Memorial Dr
Oakland, MD 21550-4343
Phone
(301) 334-7700
Fax
(301) 334-7717
NPI assigned
Dec 22, 2011
Organization subpart
Yes
Parent organization
GARRETT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Jennifer Hare
Title
Administrator
Phone
(301) 334-7703

Specialties & licenses 1

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

Addresses

Primary practice location

1025 Memorial Dr
Oakland, MD 21550-4343

Mailing address

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700

Other identifiers 1

IdentifierTypeStateIssuer
420918400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Garrett Cty Health Dept15 organizations share this tax ID, including this one
Part of
Garrett Cty Health Dept

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1124397914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7700",
            "fax_number": "301-334-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7700",
            "fax_number": "301-334-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT COUNTY SUBSTANCE ABUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRETT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-334-7703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "STATE AGENCY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420918400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.