1821528332 NPI number — ALLEGANY COUNTY HEALTH DEPARTMENT

Table of content: (NPI 1821528332)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821528332 NPI number — ALLEGANY COUNTY HEALTH DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLEGANY COUNTY HEALTH DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALLEGANY COUNTY HEALTH DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821528332
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 1745
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUMBERLAND
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21501-1745
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-759-5000
Provider Business Mailing Address Fax Number:
301-777-5674

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10102 COUNTRY CLUB RD SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUMBERLAND
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-777-2285
Provider Business Practice Location Address Fax Number:
301-777-5832
Provider Enumeration Date:
06/16/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MAYER
Authorized Official First Name:
JENELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
ALLEGANY COUNTY HEALTH OFFICER
Authorized Official Telephone Number:
301-759-5000

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  BH000023 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com