CAROLINE COUNTY SUBSTANCE ABUSE CENTER (NPI# 1245509470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245509470 |
| Entity Type | Organization |
| Organization Name | CAROLINE COUNTY SUBSTANCE ABUSE CENTER |
| Practice Address |
403 S 7th St Denton MD 21629-1327 |
| Mailing Address |
104 Franklin St Denton MD 21629-1208 |
| Practice Telephone | 4104798030 |
| Practice Fax Number | 4104790554 |
| Mailing Telephone | 4104798030 |
| Mailing Fax Number | 4104790554 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | DR. LELAND SPENCER (HEALTH OFFICER) |
| Authorized Official Telephone | 4104798030 |
| Authorized Official Credential | M.D. MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | D0027046 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PRIORITY PARTNERS | 716251100 | 01 |
| MD | MARYLAND PHYSICIANS CARE | 716251100 | 01 |
| Street Address |
403 S 7TH ST |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447205430 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2006-05-24 |
| 1821652934 | Jessica Marie Tuel | Social Worker | 403 S 7th St, Denton, MD 21629-1327 | 2019-04-24 |
| 1912344797 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2013-06-03 |
| 1942579156 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2011-12-16 |
| 1437444148 | Rowena Dean Larrimore | Clinical Nurse Specialist | 403 S 7th St, Denton, MD 21629-1327 | 2011-06-10 |
| 1174832620 | Caroline Co. Health Dept. Hiv Case Management | Case Management | 403 S 7th St, Denton, MD 21629-1327 | 2010-10-01 |
| 1932352671 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2008-10-28 |
| 1316101827 | Pamela Beth Eberhard | Nurse Practitioner | 403 S 7th St, Denton, MD 21629-1327 | 2008-07-14 |
| 1417004698 | Caroline County Health Dept. Madc | Skilled Nursing Facility | 403 S 7th St, Denton, MD 21629-1327 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124136932 | Denton County Health Department | Public Health or Welfare | 535 S Loop 288, Suite 1003, Denton, TX 76205-4502 | 2006-08-29 |
| 1447205430 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2006-05-24 |
| 1104802578 | Caroline County Health Department, Dhmh, Md | Public Health or Welfare | 104 Franklin St, Denton, MD 21629-1208 | 2005-12-19 |
| 1396745634 | Caroline County Mental Health Clinic | Public Health or Welfare | 606 Sunnyside Ave, Denton, MD 21629-1341 | 2005-07-28 |
| 1912344797 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2013-06-03 |
| 1942579156 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2011-12-16 |
| 1932352671 | Caroline County Health Department | Public Health or Welfare | 403 S 7th St, Denton, MD 21629-1327 | 2008-10-28 |
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| 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.