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Organization

ALLEGANY COUNTY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUE RAVER MD, MHP (HEALTH OFFICER)
(301) 759-5001
Entity
Organization

Contact information

Practice address
12501 WILLOWBROOK RD, CUMBERLAND, MD 21502-2554
(301) 759-5093
(301) 777-5669
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0180409
UNITED HEALTH CARE
MD
01
1059446
CIGNA
MD
01
147701060
MPC
MD
01
323817
VALUE OPTIONS
MD
01
351541
MAMSI (MDIPA, MAMSI LIFE
MD
01
55752NO
PRIORITY PARTNERS
MD
05
702001500
MD
05
720001300
MD
01
8480502
UNITED HEALTH CARE
MD
01
K002K0
MAGELLAN BEHAVIORAL HEALT
MD
01
NU1
GHMSI (FEP, BLUE CHOICE)
MD
01
VA01
BCBS
MD
Enumeration date
03/19/2007
Last updated
07/16/2007
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