Allegany County Health Department
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cumberland, MD
NPI 1154463495 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1154463495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 6185 (MD)
- Legal business name
- ALLEGANY COUNTY HEALTH DEPARTMENT
- Practice address
- 12503 Willowbrook Rd SE, Brook Building
Cumberland, MD 21502-2554 - Phone
- (301) 759-5280
- Fax
- (301) 777-5630
- NPI assigned
- Feb 13, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Dr. Jennifer Corder, MD, MPH
- Title
- Health Officer
- Phone
- (301) 759-5001
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 16
Practitioners 5
-
Mohamed A Kamel Elsayed, MD, MS
-
Mark A Roeder, LCSW-C
-
Kylie S Smith, LCPC
-
Julia Ann Wiland, LCSW-C
-
Jennifer Price Corder, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000900 | MD | Part B Supplier - Clinic/Group Practice | 0042258683 |
Receives reassigned benefits from 15 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cumberland, MD |
National Provider Directory
- Tax ID family
- Achd-Family Planning
- Part of
- Achd-Family Planning
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6185 | MD | Yes |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6184 | MD |
Addresses
Primary practice location
12503 Willowbrook Rd SE, Brook Building
Cumberland, MD 21502-2554
Mailing address
PO Box 1745
Cumberland, MD 21501-1745
Phone (301) 759-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN8432 | Other | MEDICARE-TRAVELERS | |
| PK6 | Other | CAREFIRST-FEDERAL | |
| PVPB127031 | Other | APS | |
| 263361200 | Medicaid | MD | |
| 604116-01 | Other | CAREFIRST | |
| 351541 | Other | ALLIANCE-MAMSI | |
| 418764400 | Medicaid | MD |
Other names
- ACHD-Outpatient Mental Health Center
Other providers in Cumberland, MD
- 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
- Allegany County Health Department
All providers in Cumberland, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.