NPIMap

Organization Active NPI

Kent County Health Dept.

  • Children's Substance Abuse Rehabilitation Facility
  • Chestertown, MD
National Provider Identifier
1497951032
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
902678 Issued in MD
Legal business name
KENT COUNTY HEALTH DEPT.
Practice address
300 Scheeler Rd
Chestertown, MD 21620-1014
Phone
(410) 778-6404
Fax
(410) 778-5431
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Mr. Andrew Pons
Title
Director
Phone
(410) 778-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 902678 MD Primary

Addresses

Primary practice location

300 Scheeler Rd
Chestertown, MD 21620-1014

Mailing address

300 Scheeler Rd
PO Box 229
Chestertown, MD 21620-1014
Phone (410) 778-6404

Other identifiers 1

IdentifierTypeStateIssuer
753715800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Kent Co Medical Adult Day Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1497951032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCHEELER RD",
            "address_2": "PO BOX 229",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201014",
            "telephone_number": "410-778-6404",
            "fax_number": "410-778-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHEELER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201014",
            "telephone_number": "410-778-6404",
            "fax_number": "410-778-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT COUNTY HEALTH DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "PONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-778-6404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MD",
            "license": "902678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753715800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.