NPIMap

Organization Active NPI

Arundel Lodge, Inc

Doing business as Arundel Lodge Behavioral Health Urgent Care Center

  • Community/Behavioral Health Agency
  • Annapolis, MD
National Provider Identifier
1396498176
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARUNDEL LODGE, INC
Doing business as
Arundel Lodge Behavioral Health Urgent Care Center
Practice address
2002 Medical Pkwy Ste 460
Annapolis, MD 21401-3263
Phone
(443) 590-3224
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ARUNDEL LODGE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Kerry L Lowry
Title
Billing
Phone
(443) 433-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2002 Medical Pkwy Ste 460
Annapolis, MD 21401-3263

Mailing address

2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone (443) 433-5900

Other names 1

  • Arundel Lodge Behavioral Health Urgent Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Edgewater Direct ARUNDEL LODGE, INC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000639 MD Part B Supplier - Clinic/Group Practice 8123197050 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annapolis, MD; Edgewater, MD

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Arundel Lodge Inc11 organizations share this tax ID, including this one
Part of
Arundel Lodge Inc

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1396498176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 460",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013263",
            "telephone_number": "443-590-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL LODGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARUNDEL LODGE, INC",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "443-433-5900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Edgewater",
            "affiliation": "Y",
            "endpointDescription": "Arundel Lodge, Inc",
            "affiliationName": "ARUNDEL LODGE, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Solomons Island Rd",
            "city": "Edgewater",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210371102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Arundel Lodge Behavioral Health Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.