San Mar Community Services Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Boonsboro, MD

NPI 1679932354 · NPPES record last updated Feb 23, 2016

Key facts

NPI
1679932354
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
SAN MAR COMMUNITY SERVICES INC.
Practice address
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Phone
(301) 733-9067
Fax
(301) 733-3114
NPI assigned
Feb 23, 2016
Organization subpart
Yes
Parent organization (as reported)
SAN MAR INCORPORATED

Authorized official

Name
Bruce Anderson
Title
Ceo
Phone
(301) 733-9067

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
San Mar Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD Yes

Addresses

Primary practice location

8504 Mapleville Rd
Boonsboro, MD 21713-1817

Mailing address

8504 Mapleville Rd
Boonsboro, MD 21713-1817
Phone (301) 733-9067

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2016.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1679932354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "301-733-9067",
            "fax_number": "301-733-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "301-733-9067",
            "fax_number": "301-733-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MAR COMMUNITY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN MAR INCORPORATED",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-733-9067"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonsboro, MD

All providers in Boonsboro, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

Sources for this page

Verify at the official NPI Registry.