NPIMap

Organization Active NPI

Change Health Systems Inc

  • Community/Behavioral Health Agency
  • Hagerstown, MD
National Provider Identifier
1588945182
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-826 Issued in MD
Legal business name
CHANGE HEALTH SYSTEMS INC
Practice address
7 N Potomac St Ste 101
Hagerstown, MD 21740-4805
Phone
(410) 233-1088
NPI assigned
Sep 9, 2011
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Israel Ojo
Title
Ceo
Phone
(410) 233-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-826 MD Primary

Addresses

Primary practice location

7 N Potomac St Ste 101
Hagerstown, MD 21740-4805

Mailing address

7 N Potomac St Ste 101
Hagerstown, MD 21740-4805
Phone (410) 233-1088

Other identifiers 1

IdentifierTypeStateIssuer
400314400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Change Health Systems Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

7 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 420-1850

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1588945182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N POTOMAC ST STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404805",
            "telephone_number": "410-233-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N POTOMAC ST STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404805",
            "telephone_number": "410-233-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-233-1088"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400314400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.