Organization Active NPI

Potomac Case Management Services

  • Case Management Agency
  • Frederick, MD
National Provider Identifier
1184028219
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
POTOMAC CASE MANAGEMENT SERVICES
Doing business as
Potomac Community Services
Practice address
1446 W Patrick St Ste 16
Frederick, MD 21702-3201
Phone
(443) 244-5187
NPI assigned
Oct 17, 2014
Organization subpart
Yes
Parent organization
POTOMAC CASE MANAGEMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Dawn R Johns
Title
Executive Director
Phone
(301) 791-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1446 W Patrick St Ste 16
Frederick, MD 21702-3201

Mailing address

324 E Antietam St Ste 301
Hagerstown, MD 21740-5768
Phone (301) 791-3087

Other names 1

  • Potomac Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Potomac Case Management Services Inc7 organizations share this tax ID, including this one
Part of
Potomac Case Management Services Inc

Other organizations with this tax ID 6

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

Locations

22 S Market St
Ste 4
Frederick, MD 21701

1446 W Patrick St
Ste 16
Frederick, MD 21702
Phone (301) 791-3087

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1184028219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST STE 301",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405768",
            "telephone_number": "301-791-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 W PATRICK ST STE 16",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023201",
            "telephone_number": "443-244-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC CASE MANAGEMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC CASE MANAGEMENT SERVICES, INC.",
        "enumeration_date": "2014-10-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-791-3087"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.