Organization
JOPPA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT GARRETT BOWMAN CAC-AD (ADMINISTRATIVE DIRECTOR)
(410) 259-4985
Entity
Organization
Contact information
Practice address
623 PULASKI HWY # A, JOPPA, MD 21085-3914
(410) 538-5809
(410) 538-4249
Mailing address
623 PULASKI HWY # A, JOPPA, MD 21085-3914
(410) 538-5809
(410) 538-4249
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
11026
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026500400
—
MD
01
—
MD10077M
FDA ID NUMBER
MD
Enumeration date
01/10/2007
Last updated
10/24/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up