WASHINGTON COUNTY HEALTH DEPARTMENT-CSAP (NPI# 1093296576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093296576 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY HEALTH DEPARTMENT-CSAP |
| Practice Address |
5980 Cullen Dr Sabillasville MD 21780-9702 |
| Mailing Address |
1302 Pennsylvania Ave Hagerstown MD 21742-3108 |
| Practice Telephone | 2404205400 |
| Mailing Telephone | 2403133491 |
| Mailing Fax Number | 2403133341 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | DIANA MARILYN GAVIRIA (DEPUTY HEALTH OFFICER) |
| Authorized Official Telephone | 2403133268 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
MD | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 Pennsylvania Ave, Hagerstown, MD 217423108 | 2403133491 | 2403133341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881082873 | Washington County Health Department-csap | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-12-30 |
| Street Address |
5980 CULLEN DR |
| City | SABILLASVILLE |
| State | MD |
| Zip Code | 21780-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386810877 | Joel Grinder | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-05 |
| 1881082873 | Washington County Health Department-csap | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-12-30 |
| 1912174772 | Sonya Anthony | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-12 |
| 1013184050 | Charles Richard Avey | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-09 |
| 1679749709 | Jonathan Walter Sears | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-08 |
| 1689840829 | Robert Hunter Thorn | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972892719 | Deborah Nina Smith | Nurse Practitioner | 6000 Cullen Drive, Sabillasville, MD 21780 | 2011-04-01 |
| 1154933687 | Amanda Lee Mohler | Nurse Practitioner | 15880 Manahan Rd, Sabillasville, MD 21780-8405 | 2020-08-17 |
| 1689145906 | Jamila Pennyman | Nurse Practitioner | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2018-12-14 |
| 1144871542 | Grace Trigger | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-26 |
| 1609424530 | The Orenda Center for Wellness | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-04 |
| 1235783259 | Kristin Lei Young | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-07-29 |
| 1154984961 | The Orenda Center for Wellness LLC | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-04-17 |
| 1932334406 | Victor Cullen Center | Substance Abuse Rehabilitation Facility | 6000 Cullen Dr, Sabillasville, MD 21780-9701 | 2009-05-27 |
| 1144627043 | Washington County Health Department East | Clinic/Center | 5989 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-11-21 |
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144627043 | Washington County Health Department East | Clinic/Center | 5989 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920615 | Prince George's County Health Department | Clinic/Center | 6501 Columbia Park Rd, Hyattsville, MD 20785-3970 | 2018-05-01 |
| 1528423597 | Baltimore City Health Department | Clinic/Center | 1001 E Fayette Street, Baltimore, MD 21202 | 2015-12-17 |
| 1205262771 | Prince George's County Health Department | Clinic/Center | 3003 Hospital Dr Ste 1055, Cheverly, MD 20785-1194 | 2013-09-17 |
| 1174739577 | Baltimore City Health Department | Clinic/Center | 2555 Harford Rd, Baltimore, MD 21218-4837 | 2007-05-15 |
| 1225244627 | Baltimore City Health Department | Clinic/Center | 100 S Caroline St, Baltimore, MD 21231-1703 | 2007-05-15 |
| 1619180932 | Baltimore City Health Department | Clinic/Center | 1500 Harlem Ave, Baltimore, MD 21217-2103 | 2007-05-07 |
| 1780897900 | Baltimore City Health Department | Clinic/Center | 1100 Covington St, Baltimore, MD 21230-4124 | 2007-05-07 |
| 1912110222 | Baltimore City Health Department Sbhc | Clinic/Center | 1601 E Lombard St, Baltimore, MD 21231-1718 | 2007-05-07 |
| 1639290554 | Anne Arundel County Dept. of Health | Clinic/Center | 1370 Odenton Rd, Odenton, MD 21113-1503 | 2007-04-02 |
| 1245395417 | Anne Arundel Co Dept of Hlth | Clinic/Center | 1950 Drew St, Annapolis, MD 21401 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
| City | SABILLASVILLE |
| Zip Code | 21780 |
Please comment or provide details below to improve the information on WASHINGTON COUNTY HEALTH DEPARTMENT-CSAP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.