CORSICA RIVER MENTAL HEALTH SERVICE, INC.


Address: 332 N Main St, Federalsburg, MD 21632-1007
Phone: 4107582211

CORSICA RIVER MENTAL HEALTH SERVICE, INC. (NPI# 1639603012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639603012
Entity Type Organization
Organization Name CORSICA RIVER MENTAL HEALTH SERVICE, INC.
Practice Address 332 N Main St
Federalsburg
MD 21632-1007
Mailing Address 120 Banjo Ln
Centreville
MD 21617-1002
Practice Telephone 4107582211
Mailing Telephone 4107582211
Mailing Fax Number 4107580698
Enumeration Date 2017-04-12
Last Update Date 2017-04-12
Authorized Official Name MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4107583050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154939296 Corsica River Mental Health Service, Inc. Clinic/Center 403 High St, Cambridge, MD 21613-1804 2020-07-15
1578171286 Corsica River Mental Health Service, Inc. Clinic/Center 403 High St, Cambridge, MD 21613-1804 2020-07-20
1437683430 Corsica River Mental Health Service, Inc. Clinic/Center 332 N Main St, Federalsburg, MD 21632-1007 2017-04-17

Office Location

Street Address 332 N MAIN ST
City FEDERALSBURG
State MD
Zip Code 21632-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437683430 Corsica River Mental Health Service, Inc. Clinic/Center 332 N Main St, Federalsburg, MD 21632-1007 2017-04-17
1760937197 Caroline Counseling Center Community/Behavioral Health 332 N Main St, Federalsburg, MD 21632-1007 2016-08-15
1831574540 Caroline County Mental Health Community/Behavioral Health 332 N Main St, Federalsburg, MD 21632-1007 2015-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427270529 John William Hawkins Dentist 319 North Main St, Federalsburg, MD 21632 2007-05-02
1699897884 Lisa May Social Worker 27203 Chipmans Ln, Federalsburg, MD 21632 2007-04-06
1306157508 Jennifer Beare Ketterman Nurse Practitioner 3304 Hayman Dr, Federalsburg, MD 21632 2010-06-23
1083750939 Bonnie L Dove Dental Hygienist 215 Bloomingdale Ave, Federalsburg, MD 21632 2007-01-29
1780659730 Maria Cristina Alarcon Dentist 215 Bloomingdale Ave, Federalsburg, MD 21632 2006-02-22
1881701993 John P Sloan Dentist 112 Morris Ave, Federalsburg, MD 21632-1001 2006-08-24
1760473953 Roslyn Roxanne Robinson-kellum Dentist 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 2005-11-04
1992332399 Surbhi Gupta Student in an Organized Health Care Education/Training Program 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 2020-03-25
1982231635 Mackenzie Darlene Collier Dental Hygienist 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 2020-03-24
1295367878 Beth Diane Laramore Nurse Practitioner 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 2020-02-11
Find all providers in zip 21632

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1700490562 Denoor Healthcare Services Inc Clinic/Center 12123 Statewood Rd, Reisterstown, MD 21136-4709 2020-08-31
1265041008 Truecare Behavioral Health Systems, Inc Clinic/Center 330 E 25th St Ste 101, Baltimore, MD 21218-5359 2020-07-28
1578171088 Dana Shaw LLC Clinic/Center 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 2020-07-21
1174141592 Upmc Western Maryland Corporation Clinic/Center 10700 Leslie Lane, Cumberland, MD 21502 2020-07-13
1285250191 Michael Nwandu Dnp, Pmhnp-bc, LLC Clinic/Center 5702 Country Farm Road, White Marsh, MD 21162 2020-06-17
1811519564 Womens Healing Center LLC Clinic/Center 8167 Main St Ste 206, Ellicott City, MD 21043-4776 2020-05-15
1942821004 Western Maryland Psychology LLC Clinic/Center 14407 Marsh Pike, Hagerstown, MD 21742-1647 2020-04-29
1295355352 Bright Care Solutions LLC Clinic/Center 8702 Castlerock Ct, Laurel, MD 20723-2702 2020-04-19
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Competitor

Search similar providers

City FEDERALSBURG
Zip Code 21632

Improve Information

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Dataset Information

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.

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