SAN MAR COMMUNITY SERVICES INC. (NPI# 1679932354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679932354 |
Entity Type | Organization |
Organization Name | SAN MAR COMMUNITY SERVICES INC. |
Practice Address |
8504 Mapleville Rd Boonsboro MD 21713-1817 |
Practice Telephone | 3017339067 |
Practice Fax Number | 3017333114 |
Mailing Telephone | 3017339067 |
Mailing Fax Number | 3017333114 |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |
Authorized Official Name | BRUCE ANDERSON (CEO) |
Authorized Official Telephone | 3017339067 |
Is Organization Subpart | Y |
Parent Organization Name | SAN MAR INCORPORATED |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MD | Ambulatory Health Care Facilities |
Street Address |
8504 MAPLEVILLE RD |
City | BOONSBORO |
State | MD |
Zip Code | 21713-1817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023164829 | Melissa Ann Phillips | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713 | 2007-01-25 |
1972116143 | Meghan Lindsay Sprague | Nurse Practitioner | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2020-08-28 |
1851918429 | Sally Jornlin | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2020-06-30 |
1528603842 | Krista Lynn Healy Schaefer | Counselor | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2019-11-11 |
1851946891 | Chrystal Marie Dewolf | Counselor | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2019-08-06 |
1164948006 | Mary Bridget Choudhary | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2017-08-22 |
1326581513 | Jack E. Barr Center for Well-being | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-21 |
1417490731 | Courtney Lloyd | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-18 |
1922464791 | San Mar Inc | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-01-11 |
1659736916 | Keith Fanjoy | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2015-12-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083241210 | Fahrney-keedy Memorial Home, Inc. | Clinic/Center | 21 Mountain View Drive, Boonsboro, MD 21713 | 2020-03-26 |
1538687157 | Aaron M. Smith | Physical Therapy Assistant | 141 S. Main Street, Boonsboro, MD 21713 | 2017-09-04 |
1659739720 | San Mar Children's Home | Social Worker | 8504 Mapleville Road, Boonsboro, MD 21713 | 2016-02-04 |
1114351624 | Amanda Lindsay Wegh | Physical Therapy Assistant | 141 S Main St., Boonsboro, MD 21713 | 2013-09-03 |
1932388493 | South Mountain Community Health LLC | Nurse Practitioner | 9 Saint Paul St Ste 3, Boonsboro, MD 21713 | 2007-10-31 |
1679796718 | Vivian S Sewell | Counselor | 24 N. Main Street, Boonsboro, MD 21713 | 2007-04-10 |
1801182597 | Kate M Rhodes | Physical Therapist | 141 S Main St, Suite 205, Boonsboro, MD 21713 | 2011-06-22 |
1689703712 | Gordon D Bekedam | Dentist | 112 N Main St, Boonsboro, MD 21713 | 2007-03-05 |
1053813634 | Daniel C. Mceowen Dds, PC | Clinic/Center | 112 N Main St Ste 1, Boonsboro, MD 21713-1063 | 2018-02-28 |
1215394721 | Justin Arvin Haugh | Dentist | 112 N Main St, Boonsboro, MD 21713-1063 | 2016-01-28 |
Find all providers in zip 21713 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.