NPIMap

Organization Active NPI

Anne Arundel County Dept. of Health

  • Methadone Clinic
  • Glen Burnie, MD
National Provider Identifier
1710271028
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ANNE ARUNDEL COUNTY DEPT. OF HEALTH
Practice address
600 East Ordnance Road
Glen Burnie, MD 21060
Phone
(410) 222-6350
Fax
(410) 222-6362
NPI assigned
Jun 3, 2011
Last updated
Jun 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Vickey Richardson, R.N.
Title
Co-Program Manager
Phone
(410) 222-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

600 East Ordnance Road
Glen Burnie, MD 21060

Mailing address

600 East Ordnance Road
Glen Burnie, MD 21060
Phone (410) 222-6350

Other identifiers 1

IdentifierTypeStateIssuer
265521700MedicaidMD

Other names 1

  • Road to Recovery Other name

National Provider Directory

National Provider Directory
Tax ID family
Ilhan a Mutlu MD29 organizations share this tax ID, including this one
Part of
Ilhan a Mutlu MD

Other organizations with this tax ID 28

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

View all 28

Locations

600 E Ordnance Rd
Glen Burnie, MD 21060
Phone (410) 222-4928

Practitioners & affiliated clinicians

Practitioners 4

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": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1710271028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST ORDNANCE ROAD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21060",
            "telephone_number": "410-222-6350",
            "fax_number": "410-222-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST ORDNANCE ROAD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21060",
            "telephone_number": "410-222-6350",
            "fax_number": "410-222-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL COUNTY DEPT. OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH",
        "enumeration_date": "2011-06-03",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "VICKEY",
        "authorized_official_title_or_position": "CO-PROGRAM MANAGER",
        "authorized_official_telephone_number": "410-222-6001",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265521700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Road to Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

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