NPIMap

Organization Active NPI

Associated Catholic Charities

Doing business as Washington County PRP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
National Provider Identifier
1235433467
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASSOCIATED CATHOLIC CHARITIES
Doing business as
Washington County PRP
Practice address
324 E Antietam St Ste 307a
Hagerstown, MD 21740-5768
Phone
(301) 733-5858
NPI assigned
Jan 3, 2011
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Mrs. Gloria Oversmith
Title
Accounts Receivable and Billing Man
Phone
(667) 600-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

324 E Antietam St Ste 307a
Hagerstown, MD 21740-5768

Mailing address

1966 Greenspring Dr
Suite 200
Timonium, MD 21093-4117
Phone (443) 798-3395

Other practice location 1

229 N Potomac St
Hagerstown, MD 21740-3812
Phone (410) 733-5858

Other identifiers 1

IdentifierTypeStateIssuer
419835202MedicaidMD

Other names 1

  • WASHINGTON COUNTY PRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Francis X Gallagher Services62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1235433467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 GREENSPRING DR",
            "address_2": "SUITE 200",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934117",
            "telephone_number": "443-798-3395",
            "fax_number": "410-561-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST STE 307A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405768",
            "telephone_number": "301-733-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 N Potomac St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217403812",
            "country_code": "US",
            "telephone_number": "410-733-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "OVERSMITH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE AND BILLING MAN",
        "authorized_official_telephone_number": "667-600-2249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419835202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON COUNTY PRP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WASHINGTON COUNTY PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.