GLASS HEALTH PROGRAMS, INC. (NPI# 1689937260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689937260 |
Entity Type | Organization |
Organization Name | GLASS HEALTH PROGRAMS, INC. |
Other Organization Name | MEDMARK TREATMENT CENTERS BELCAMP |
Practice Address |
1361 Brass Mill Rd Suite A Bel Camp MD 21017 |
Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
Practice Telephone | 4102739700 |
Practice Fax Number | 4102739713 |
Mailing Telephone | 2143793300 |
Mailing Fax Number | 2148539018 |
Enumeration Date | 2012-06-19 |
Last Update Date | 2020-07-14 |
Authorized Official Name | BOND ANDREWS (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Telephone | 2143793398 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 101202 | MD | Agencies |
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MD | Ambulatory Health Care Facilities | |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 39191306 | 05 | |
MD | 403453800 | 05 | |
PA | 0019661780001 | 05 | |
MD | LICENSE | 905637 | 01 |
Other Name | Type Code |
---|---|
MedMark Treatment Centers Belcamp | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528325420 | Glass Health Programs, Inc. | Clinic/Center | 2 W Aylesbury Rd, Timonium, MD 21093-4101 | 2012-04-16 |
Street Address |
1361 BRASS MILL RD SUITE A |
City | BEL CAMP |
State | MD |
Zip Code | 21017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932187390 | Lise M Greenberg | Family Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-01-05 |
1013912039 | Gloria Fern Moretz | Nurse Practitioner | 103 Bata Blvd, John Hopkins Community Physicians Waters Edge, Baltimore, MD 21017 | 2005-06-16 |
1861537532 | Laurie Bothwell | Emergency Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017 | 2007-02-21 |
1730237330 | Stephen E Gentile | Dentist | 1321 Riverside Pkwy, D 4, Belcamp, MD 21017 | 2007-01-08 |
1932204716 | Elizabeth Jo Johnson | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-14 |
1215031612 | Marilyn Moshay Cooper | Pediatrics | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-08 |
1619070125 | Bernhard Birnbaum | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-07 |
1689184442 | Arrow Child & Family Ministries of Maryland | Community/Behavioral Health | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2017-10-06 |
1346887486 | Lori Ann Levy | Occupational Therapist | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2019-12-09 |
1548319056 | Alliance Inc | Community/Behavioral Health | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2007-01-10 |
Find all providers in zip 21017 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
Find all providers with the same taxonomy |
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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.