Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Active
Parent organization
ALLEGANY COUNTY HEALTH DEPARTMENT
Other names
ACHD-Lois E. Jackson Unit
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
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2290
(301) 777-2141
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5000
(301) 777-5674
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
16297
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02IO
MAGELLAN
—
01
—
055998
PRIORITY PARTNERS (MCO)
—
01
—
277593
MAMSI
—
01
—
323817
VALUE OPTIONS
—
01
—
351541
MAMSI
—
01
—
5098907
UBH (MCO)
—
05
—
603304100
—
MD
01
—
604116-02
CAREFIRST BCBS
—
01
—
IO
MAGELLAN
—
01
—
NU1
GHMSI
—
Enumeration date
12/12/2006
Last updated
08/06/2013
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