Allegany County Health Department
Organization Active NPI Children's Substance Abuse Rehabilitation Facility · Cumberland, MD
NPI 1134512403 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1134512403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Children's Substance Abuse Rehabilitation Facility 3245S0500X
- License
- 904691 (MD)
- Legal business name
- ALLEGANY COUNTY HEALTH DEPARTMENT
- Practice address
- 10102 Country Club Rd SE
Cumberland, MD 21502-8339 - Phone
- (301) 777-2290
- Fax
- (301) 777-2141
- NPI assigned
- Mar 11, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Dr. Sue V Raver, M.D., M.P.H.
- Title
- Allegany County Health Officer
- Phone
- (301) 759-5000
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Achd-Family Planning
- Part of
- Achd-Family Planning
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 904691 | MD | Yes |
Addresses
Primary practice location
10102 Country Club Rd SE
Cumberland, MD 21502-8339
Mailing address
PO Box 1745
Cumberland, MD 21501-1745
Phone (301) 759-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277593 | Other | MAMSI | |
| 323817 | Other | VALUE OPTIONS | |
| 603304100 | Medicaid | MD |
Other names
- Behavioral Health Jackson Unit
Other providers in Cumberland, MD
- Allegany County County Commissioners
- Allegany County Day Care Center
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
All providers in Cumberland, MD · Children's Substance Abuse Rehabilitation Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.