Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Other names
ACHD-Outpatient Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGANY COUNTY HEALTH DEPARTMENT
Authorized official
DR. JENNIFER CORDER MD, MPH (HEALTH OFFICER)
(301) 759-5001
Entity
Organization
Contact information
Practice address
12503 WILLOWBROOK RD SE, BROOK BUILDING, CUMBERLAND, MD 21502-2554
(301) 759-5280
(301) 777-5630
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6184
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6185
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263361200
—
MD
01
—
351541
ALLIANCE-MAMSI
—
05
—
418764400
—
MD
01
—
604116-01
CAREFIRST
—
01
—
CN8432
MEDICARE-TRAVELERS
—
01
—
PK6
CAREFIRST-FEDERAL
—
01
—
PVPB127031
APS
—
Enumeration date
02/13/2007
Last updated
07/03/2023
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