NPIMap

Organization Active NPI

Allegany County Health Department

  • Children's Substance Abuse Rehabilitation Facility
  • Cumberland, MD
National Provider Identifier
1134512403
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
904691 Issued in 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
Last updated
Mar 11, 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 Mar 11, 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
Children's Substance Abuse Rehabilitation Facility 3245S0500X 904691 MD Primary

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 names 1

  • Behavioral Health Jackson Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Allegany County Health Departmentjoseph S Massie Unit17 organizations share this tax ID, including this one
Part of
Allegany County Health Departmentjoseph S Massie Unit

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1134512403",
    "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": "301-777-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 COUNTRY CLUB RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028339",
            "telephone_number": "301-777-2290",
            "fax_number": "301-777-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "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": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MD",
            "license": "904691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Jackson Unit",
            "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 Mar 11, 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.