Dorchester County Drug and Alcohol Health Services
Organization Active NPI Public Health or Welfare Agency · Cambridge, MD
NPI 1306116231 · NPPES record last updated Jan 10, 2012
Key facts
- NPI
- 1306116231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 13090 (MD)
- Legal business name
- DORCHESTER COUNTY DRUG AND ALCOHOL HEALTH SERVICES
- Practice address
- 310 Gay St
Lower Level
Cambridge, MD 21613-1898 - Phone
- (410) 228-7714
- Fax
- (410) 228-8049
- NPI assigned
- Jan 10, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- DORCHESTER COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Mr. John Randolph Winslow, MHS, CPP
- Title
- Program Director
- Phone
- (410) 228-7714
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Howard County Health de
- Part of
- Howard County Health de
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 13090 | MD | Yes |
Addresses
Primary practice location
310 Gay St
Lower Level
Cambridge, MD 21613-1898
Mailing address
3 Cedar St
Cambridge, MD 21613-2362
Phone (410) 228-7714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MV4 | Other | MD | BLUE CROSS/ BLUE SHIELD |
| 703191200 | Other | MD | AMERIGROUP |
| 703191200 | Other | MD | PRIORITY PARTNERS |
| 703191200 | Other | MD | MD PHYSICIANS CARE |
| 720081100 | Medicaid | MD | |
| 703191200 | Other | MD | UNITED BEHAVORIAL HEALTH |
NPI Registry JSON
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1306116231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CEDAR ST",
"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 ST",
"address_2": "LOWER LEVEL",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131898",
"telephone_number": "410-228-7714",
"fax_number": "410-228-8049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORCHESTER COUNTY DRUG AND ALCOHOL HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DORCHESTER COUNTY HEALTH DEPARTMENT",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"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": "13090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "MV4",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "703191200",
"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"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Dorchester County Behavioral Health - MH
- Dorchester County Commission on the Aging, Inc
- Dorchester County Commission on the Aging, Inc
- Dorchester County Commissioners
- Dorchester County Commissioners
- Dorchester County Family Young Men'S Christian Association, Inc.
- Dorchester County Health Department
- Dorchester County Health Department
- Dorchester County Health Department
- Dorchester County Health Department
All providers in Cambridge, MD · Public Health or Welfare 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 Jan 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.