NPIMap

Organization Active NPI

Brook Lane Health Services/Stonebridge

  • Psychiatric Hospital
  • Hagerstown, MD
National Provider Identifier
1861643595
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
00075 Issued in MD
Legal business name
BROOK LANE HEALTH SERVICES/STONEBRIDGE
Practice address
13218 Brook Lane Drive
Hagerstown, MD 21742-1945
Phone
(301) 733-0330
Fax
(301) 733-4038
NPI assigned
Sep 30, 2008
Organization subpart
Yes
Parent organization
BROOK LANE HEALTH SERVICES/STONEBRIDGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Mrs. Kristy L Poffenberger
Title
Managed Care Coordinator
Phone
(301) 733-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 00075 MD Primary

Addresses

Primary practice location

13218 Brook Lane Drive
Hagerstown, MD 21742-1945

Mailing address

13121 Brook Lane
Hagerstown, MD 21742-1945
Phone (301) 733-0330

National Provider Directory

National Provider Directory
Tax ID family
Book Lane House Staff5 organizations share this tax ID, including this one
Part of
Book Lane House Staff

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1861643595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421945",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13218 BROOK LANE DRIVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421945",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK LANE HEALTH SERVICES/STONEBRIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOK LANE HEALTH SERVICES/STONEBRIDGE",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "POFFENBERGER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "301-733-0331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "00075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.