THRIVE MIDSHORE, INC (NPI# 1649679572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649679572 |
| Entity Type | Organization |
| Organization Name | THRIVE MIDSHORE, INC |
| Practice Address |
239 Main St Preston MD 21655-2215 |
| Mailing Address |
3666 Muddy Creek Rd Oasis Foundation Edgewater MD 21037-3418 |
| Practice Telephone | 4432030103 |
| Practice Fax Number | 4432030104 |
| Mailing Telephone | 4432030103 |
| Mailing Fax Number | 4432030104 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | DR. LINDA WHITBY (OPERATIONS OFFICER) |
| Authorized Official Telephone | 3014047413 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
D17162 | MD | Ambulatory Health Care Facilities |
| Street Address |
239 MAIN ST |
| City | PRESTON |
| State | MD |
| Zip Code | 21655-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063696177 | Arlene Stevens | Nurse Practitioner | 136 Lednum Avenue, Suite 5, Preston, MD 21655 | 2007-12-26 |
| 1538196761 | Melinda Elizabeth Butler | Family Medicine | 136 Lednum Ave., Suite 5, Preston, MD 21655 | 2006-06-26 |
| 1558483149 | Preston Family Physicians | Family Medicine | 136 Lednum Ave., Suite 5, Preston, MD 21655 | 2007-04-04 |
| 1558397315 | Timothy John Sniezek | Family Medicine | 3683 Choptank Rd, Preston, MD 21655-1220 | 2006-06-24 |
| 1881235018 | Jazzmyn Proctor | Behavior Technician | 6318 Statum Rd, Preston, MD 21655-2011 | 2019-09-29 |
| 1497104426 | Chelsea Cool Mcmaster | Physician Assistant | 225 Main St, Preston, MD 21655-2215 | 2016-06-09 |
| 1053778738 | Choptank Community Health System, Inc. | Clinic/Center | 225 Main St, Preston, MD 21655-2215 | 2016-01-26 |
| 1700828324 | Mulvey's Preston Pharmacy Inc. | Pharmacist | 243 Main St, Box 129, Preston, MD 21655-2215 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667417 | Tracy L Rosiene | Massage Therapist | 211 Route 164, Preston, CT 06365-8726 | 2020-10-21 |
| 1417599846 | David Frazer | Counselor | 12 Cider Mill Rd, Preston, CT 06365-8501 | 2019-10-17 |
| 1881235018 | Jazzmyn Proctor | Behavior Technician | 6318 Statum Rd, Preston, MD 21655-2011 | 2019-09-29 |
| 1942856950 | Diane Jargo | Technician | 462 W. Degroat St., Preston, IA 52069 | 2019-08-15 |
| 1821640095 | Overcross Counseling and Equine Services LLC | Community/Behavioral Health | 9565 Highway 75, Preston, OK 74456-5600 | 2019-07-09 |
| 1225596737 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 136 Main St Sw, Preston, MN 55965 | 2019-03-05 |
| 1215494497 | Demi J Borgman | Occupational Therapy Assistant | 45307 17th St, Preston, IA 52069-9761 | 2019-02-25 |
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1114468691 | Michael Walsh | Specialist/Technologist | 116 Brownsville St Ne, Preston, MN 55965-1127 | 2017-03-16 |
| 1184164048 | Catherine Johnson | Occupational Therapist | 333 N Simpson St, Preston, IA 52069-9742 | 2017-02-27 |
| Find all providers in PRESTON | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841453 | Focus Recovery Center LLC | Clinic/Center | 801 Toll House Ave # B1&b2, Frederick, MD 21701-4564 | 2020-04-28 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1538700372 | Open Arms & Hearts Health Services, LLC | Clinic/Center | 1532 Ocean Hwy Unit 101104, Pocomoke City, MD 21851-3023 | 2019-10-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1396300398 | Bel Air Recovery Center, LLC | Clinic/Center | 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015-5906 | 2019-05-06 |
| 1194295840 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-11-26 |
| 1386128387 | Veni Vidi Vici Treatment Services, LLC. | Clinic/Center | 4b North Ave Ste 302, Bel Air, MD 21014-2304 | 2018-09-17 |
| 1447730890 | Evergreen Treatment Services LLC | Clinic/Center | 2120 Pulaski Hwy, Havre De Grace, MD 21078-2127 | 2018-08-15 |
| 1659861607 | Winchester Health LLC | Clinic/Center | 1315 Bloomingdale Rd, Baltimore, MD 21216-3922 | 2018-05-15 |
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THRIVE MIDSHORE, INC.
| 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.