Maryland Health Alliance, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MARYLAND HEALTH ALLIANCE, INC.

Practice address

7525 Greenway Center Dr Ste 207
Greenbelt, MD 20770-3525

Phone

(240) 473-2159

Fax

(240) 965-6935

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Corey Williams

Title

Ceo

Phone

(240) 473-2159

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Maryland Health Alliance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Maryland Health Alliance, Inc.

  • Community/Behavioral Health Agency
  • Greenbelt, MD
  • NPI 1144967217
  NPD tax ID
• Maryland Health Alliance, Inc.

  • Community/Behavioral Health Agency
  • Greenbelt, MD
  • NPI 1447802665
  NPD tax ID

Locations

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1801355987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 207",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 207",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-473-2159"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH001598",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 02016)
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Healthcare Clinics
• Maryland Interventional LLC
• Maryland Pain and Spine Center, Inc
• Thomas E Maslen, M.D.
• Esmail Masoudpour, MD

• Rehabilitation Clinic/Center in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.