ALLEGANY COUNTY HEALTH DEPARTMENT (NPI# 1639293228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639293228 |
| Entity Type | Organization |
| Organization Name | ALLEGANY COUNTY HEALTH DEPARTMENT |
| Other Organization Name | ACHD-DENTAL PROGRAM |
| Practice Address |
12503 Willowbrook Rd Cumberland MD 21502-2554 |
| Mailing Address |
Po Box 1745 Cumberland MD 21501-1745 |
| Practice Telephone | 3017595030 |
| Practice Fax Number | 3017224304 |
| Mailing Telephone | 3017595000 |
| Mailing Fax Number | 3017775674 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | DR. SUE RAVER (HEALTH OFFICER) |
| Authorized Official Telephone | 3017595001 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLEGANY COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 720001300 | 05 | |
| MD | 722001500 | 05 |
| Other Name | Type Code |
|---|---|
| ACHD-Dental Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260941 | Allegany County Health Department | Substance Abuse Rehabilitation Facility | 12300 Old Willow Brk Rd Se, Cumberland, MD 21502-8342 | 2018-10-03 |
| 1114364544 | Allegany County Health Department | Early Intervention Provider Agency | 7 Court Street County Office Complex, Ground Floor Room 13, Belmont, NY 14813-1044 | 2013-05-24 |
| 1811197502 | Allegany County Health Department | Substance Abuse Rehabilitation Facility | 10102 Country Club Rd, Cumberland, MD 21502 | 2007-07-20 |
| 1265556815 | Allegany County Health Department | Community/Behavioral Health | 12501- 12503 Willowbrook Rd, Cumberland, MD 21502-2569 | 2007-03-19 |
| 1376059519 | Allegany County Health Department | Case Management | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2017-12-26 |
| 1821528332 | Allegany County Health Department | Substance Abuse Rehabilitation Facility | 10102 Country Club Rd Se, Cumberland, MD 21502 | 2017-06-16 |
| 1134512403 | Allegany County Health Department | Substance Abuse Rehabilitation Facility | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2015-03-11 |
| 1043600794 | Allegany County Health Department | Community/Behavioral Health | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2015-02-03 |
| 1265838635 | Allegany County Health Department | Community/Behavioral Health | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2014-11-13 |
| 1770852675 | Allegany County Health Department | Clinic/Center | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2011-12-21 |
| Street Address |
12503 WILLOWBROOK RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391803 | Noelle Wilt | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2019-05-20 |
| 1578094306 | Lue Lease | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1861923690 | Jason Hensel | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1508397399 | Jennifer Harbaugh | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1942731740 | Craig Brookley | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1366973158 | Becki Clark | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1699206425 | Amanda Oliverio | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1710425947 | Wendy Broadwater | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-02-08 |
| 1013455799 | Rebecca Meyers | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-02-02 |
| 1104362557 | Eric Davis | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490228 | Davis Dental Centers, PC | Clinic/Center | 326 Main St, Cumberland, ME 04021-3904 | 2020-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on ALLEGANY COUNTY HEALTH DEPARTMENT.
| 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.