NPIMap

Organization Active NPI

Allegany County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumberland, MD
National Provider Identifier
1154463495
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6185 Issued in 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
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. Jennifer Corder, MD, MPHNPI 1801977558
Title
Health Officer
Phone
(301) 759-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6184 MD
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6185 MD Primary

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 7

IdentifierTypeStateIssuer
PK6OtherCAREFIRST-FEDERAL
604116-01OtherCAREFIRST
263361200MedicaidMD
351541OtherALLIANCE-MAMSI
CN8432OtherMEDICARE-TRAVELERS
418764400MedicaidMD
PVPB127031OtherAPS

Other names 1

  • ACHD-Outpatient Mental Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Allegany Cty Health Dep17 organizations share this tax ID, including this one
Part of
Allegany Cty Health Dep

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1154463495",
    "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": "12503 WILLOWBROOK RD SE, BROOK BUILDING",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022554",
            "telephone_number": "301-759-5280",
            "fax_number": "301-777-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGANY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "301-759-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "6184",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "6185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-FEDERAL",
            "identifier": "PK6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "604116-01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263361200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE-MAMSI",
            "identifier": "351541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TRAVELERS",
            "identifier": "CN8432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418764400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB127031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACHD-Outpatient Mental Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ACHD-Outpatient Mental Health Center",
            "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 Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.