Allegany County Health Department
Organization Active NPI Community/Behavioral Health Agency · Cumberland, MD
NPI 1265838635 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1265838635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 903070 (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
- Nov 13, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Dr. Jennifer Corder, MD, MPH
- Title
- Allegany County Health Officer
- Phone
- (301) 759-5000
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 16
Practitioners 2
-
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
Locations
10102 Country Club Rd SE
Ste 4
Cumberland, MD 21502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 903070 | MD | Yes |
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 |
|---|---|---|---|
| 1059446 | Other | CIGNA | |
| 323817 | Other | VALUE OPTIONS |
Other names
- Behavioral Health Outpatient Addictions
Other providers in Cumberland, MD
- 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
- Allegany County Health Department
All providers in Cumberland, MD · Community/Behavioral Health Agency 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.