Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Other names
ACHD-Outpatient Addictions
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
DR. SUE RAVER MD, MPH (HEALTH OFFICER)
(301) 759-5001
Entity
Organization
Contact information
Practice address
12501-12503 WILLOWBROOK RD, CUMBERLAND, MD 21502
(301) 759-5050
(301) 777-2098
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
903069
MD
251S00000X
Community/Behavioral Health Agency
903070
MD
261QM2800X
Methadone Clinic
903068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059446
CIGNA
—
01
—
323817
VALUE OPTIONS
—
01
—
351541
MAMSI
—
01
—
55752NO
PRIORITY PARTNERS (MCO)
—
01
—
604116-04
CAREFIRST BCBS
—
05
—
702001500
—
MD
01
—
8480502
UBH (MCO)
—
01
—
KO
MAGELLAN
—
01
—
NU1
GHMSI
—
01
—
O2KO
MAGELLAN
—
Enumeration date
01/18/2007
Last updated
08/06/2013
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