Allegany County Health Department
Organization Active NPI Substance Abuse Rehabilitation Facility · Cumberland, MD
NPI 1790260941 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1790260941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- ALLEGANY COUNTY HEALTH DEPARTMENT
- Practice address
- 12300 Old Willow BRK Rd SE
Cumberland, MD 21502-8342 - Phone
- (301) 777-2497
- NPI assigned
- Oct 3, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Jenelle Mayer, M.P.H
- Title
- Health Officer
- Phone
- (301) 759-5001
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000900 | MD | Part B Supplier - Clinic/Group Practice | 0042258683 |
Receives reassigned benefits from 15 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cumberland, MD |
National Provider Directory
- Tax ID family
- Achd-Family Planning
- Part of
- Achd-Family Planning
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
12300 Old Willow BRK Rd SE
Cumberland, MD 21502-8342
Mailing address
PO Box 1745
Cumberland, MD 21501-1745
Phone (301) 777-5000
Other names
- Behavioral Health Allegany House
Other providers in Cumberland, MD
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department
- Allegany County Health Department/Joseph S Massie Unit
All providers in Cumberland, MD · Substance Abuse Rehabilitation Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.