NPIMap

Organization Active NPI

Garrett County Health Dept-Substance Abuse

  • Community/Behavioral Health Agency
  • Oakland, MD
National Provider Identifier
1477943108
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
904847 Issued in MD
Legal business name
GARRETT COUNTY HEALTH DEPT-SUBSTANCE ABUSE
Practice address
1025 Memorial Dr
Oakland, MD 21550-4343
Phone
(301) 334-7670
Fax
(301) 334-7671
NPI assigned
Feb 3, 2015
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GARRETT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Jennifer Hare
Title
Administrator
Phone
(301) 334-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 904847 MD Primary

Addresses

Primary practice location

1025 Memorial Dr
Oakland, MD 21550-4343

Mailing address

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7670

Other identifiers 1

IdentifierTypeStateIssuer
423207100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000216 MD Part B Supplier - Clinic/Group Practice 0547239626 Receives reassigned benefits from 20 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oakland, 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
Garrett County Health Department15 organizations share this tax ID, including this one
Part of
Garrett County Health Department

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1477943108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7670",
            "fax_number": "301-334-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7670",
            "fax_number": "301-334-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT COUNTY HEALTH DEPT-SUBSTANCE ABUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRETT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2015-02-03",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-334-7703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "904847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423207100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.