NPIMap

Organization Active NPI

Dorchester County Health Department

  • Public Health or Welfare Agency
  • Cambridge, MD
National Provider Identifier
1205894458
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
13090 Issued in MD
Legal business name
DORCHESTER COUNTY HEALTH DEPARTMENT
Practice address
310 Gay Street
Lower Level
Cambridge, MD 21613-1898
Phone
(410) 228-7714
NPI assigned
May 3, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DORCHESTER COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. John Randolph Winslow, MHS,CPP
Title
Program Director
Phone
(410) 228-7714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MD-902199 MD
Public Health or Welfare Agency 251K00000X 13090 MD Primary

Addresses

Primary practice location

310 Gay Street
Lower Level
Cambridge, MD 21613-1898

Mailing address

3 Cedar Street
Cambridge, MD 21613-2362
Phone (410) 228-7714

Other identifiers 7

IdentifierTypeStateIssuer
MV4OtherMDBLUE CROSS/BLUE SHEILD
703191200OtherMDPRIORITY PARTNERS
703191200OtherMDMD PHYSICIANS CARE
720081100MedicaidMD
703191200OtherMDUNITED BEHAVORIAL HEALTH
703191200OtherMDAMERIGROUP
703191200OtherMDMEDICAL ASSISTANCE

Other names 1

  • Dorchester County Drug and Alcohol Health Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000210 MD Part B Supplier - Clinic/Group Practice 7416859327 Receives reassigned benefits from 96 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD; Sykesville, MD; Salisbury, MD; Hagerstown, MD; Catonsville, MD; Cambridge, MD

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory
Part of
University of Maryland Athletics-College Park

Locations

310 Gay St
Lowr
Cambridge, MD 21613
Phone (410) 228-7714

Practitioners & affiliated clinicians

Practitioners 1

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1205894458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CEDAR STREET",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132362",
            "telephone_number": "410-228-7714",
            "fax_number": "410-228-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GAY STREET",
            "address_2": "LOWER LEVEL",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131898",
            "telephone_number": "410-228-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DORCHESTER COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-228-7714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS,CPP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "MD-902199",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "13090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "MV4",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "703191200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PHYSICIANS CARE",
            "identifier": "703191200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720081100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVORIAL HEALTH",
            "identifier": "703191200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "703191200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "703191200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorchester County Drug and Alcohol Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.