Metwork Health Services, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

15858 Issued in MD

Legal business name

METWORK HEALTH SERVICES, INC.

Practice address

2120 Liberty Rd
Eldersburg, MD 21784-6723

Phone

(410) 781-4158

Fax

(410) 781-4801

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brent Garrett Bowman, CAC-AD

Title

Administrative Director

Phone

(410) 259-4985

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1780733501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LIBERTY RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846723",
            "telephone_number": "410-781-4158",
            "fax_number": "410-781-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LIBERTY RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846723",
            "telephone_number": "410-781-4158",
            "fax_number": "410-781-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METWORK HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "410-259-4985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAC-AD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "15858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA ID NUMBER",
            "identifier": "MD10049M",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215361100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Eldersburg, MD by specialty
• Methadone Clinic in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.