NPIMap

Organization Active NPI

Allegany County Health Department

  • Community/Behavioral Health Agency
  • Cumberland, MD
National Provider Identifier
1265838635
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
903070 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
Nov 13, 2014
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
Allegany County Health Officer
Phone
(301) 759-5000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 903070 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 names 1

  • Behavioral Health Outpatient Addictions 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 County Health Departmentjoseph S Massie Unit17 organizations share this tax ID, including this one
Part of
Allegany County Health Departmentjoseph S Massie Unit

Other organizations with this tax ID 16

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

View all 16

Locations

10102 Country Club Rd SE
Ste 4
Cumberland, MD 21502

Practitioners & affiliated clinicians

Practitioners 2

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1265838635",
    "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": "301-777-5630"
        },
        {
            "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": "2014-11-13",
        "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": "ALLEGANY COUNTY HEALTH OFFICER",
        "authorized_official_telephone_number": "301-759-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "903070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Outpatient Addictions",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Behavioral Health Outpatient Addictions",
            "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.