QUEEN ANNE'S COUNTY HEALTH DEPARTMENT (NPI# 1851799936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851799936 |
| Entity Type | Organization |
| Organization Name | QUEEN ANNE'S COUNTY HEALTH DEPARTMENT |
| Other Organization Name | QUEEN ANNE'S COUNTY ALCOHOL AND DRUG ABUSE SERVICES |
| Practice Address |
205 N Liberty St Centreville MD 21617-1022 |
| Mailing Address |
206 N Commerce St Centreville MD 21617-1049 |
| Practice Telephone | 4107581306 |
| Practice Fax Number | 4107582133 |
| Mailing Telephone | 4107581306 |
| Mailing Fax Number | 4107582133 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | MR. GARY B FRY (DIRECTOR) |
| Authorized Official Telephone | 4107581306 |
| Authorized Official Credential | LCADC |
| Is Organization Subpart | Y |
| Parent Organization Name | QUEEN ANNE'S COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
750325 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 423239900 | 05 | |
| MD | CAREFRSIT BCBS OF MD | H93 | 01 |
| MD | VALUE OPTIONS | 019364 | 01 |
| MD | BC&BS | H93 | 01 |
| MD | CAREFIRST BLUE CHOICE | H93 | 01 |
| Other Name | Type Code |
|---|---|
| Queen Anne's County Alcohol and Drug Abuse Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700208584 | Queen Anne's County Health Department | Case Management | 206 N Commerce St, Centreville, MD 21617-1049 | 2014-01-13 |
| 1962849901 | Queen Anne's County Health Department | Public Health or Welfare | 206 N Commerce St, Centreville, MD 21617-1049 | 2013-05-31 |
| 1174893556 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2012-01-03 |
| 1962772319 | Queen Anne's County Health Department | Public Health or Welfare | 206 N Commerce St, Centreville, MD 21617-1049 | 2012-01-03 |
| Street Address |
205 N LIBERTY ST |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514681 | Charlotte F Pierce | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2006-06-09 |
| 1174893556 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2012-01-03 |
| 1932408242 | Elizabeth Bohaker | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518266816 | Jeffrey J Holloway | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1942509245 | Maggie J Terzaghi | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518129147 | Andrea Cheezum | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2008-06-25 |
| 1831370790 | John J Sykes | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-11-20 |
| 1467649392 | Philip E Fisher | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-09-25 |
| 1497883466 | Kathleen S Ryan | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-03-01 |
| 1477681443 | Mary Susan Harrison | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472570 | Project Chesapeake, LLC | Clinic/Center | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2017-12-12 |
| 1871820258 | Certified Counseling Services of Centreville, LLC | Clinic/Center | 204 Banjo Ln Ste A, Centreville, MD 21617-1054 | 2009-11-05 |
| 1295269785 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2017-04-12 |
| 1891179099 | Corsica River Mental Health Services, Inc. | Clinic/Center | 120 Banjo Ln, Centreville, MD 21617-1002 | 2015-07-17 |
| 1174893556 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 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 | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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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.