GLASS HEALTH PROGRAMSINC NPI 1598021917

NPI Information

NPI: 1598021917
Provider Name: GLASS HEALTH PROGRAMS,INC

Doing Business As: MEDMARK TREATMENT CENTERS - ESSEX

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 21D2034209

Address:
8909 KELSO DR
ESSEX, MD
ZIP 21221
Phone: (410) 486-2500
Get Directions

GLASS HEALTH PROGRAMS,INC is a rehabilitation and substance use disorder clinic center in Essex, MD. GLASS HEALTH PROGRAMS,INC NPI is 1598021917. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers - Essex.

The provider's business location address is:

8909 KELSO DR
ESSEX, MD
ZIP 21221-113
Phone: (410) 486-2500
Fax: (410) 780-8686

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 21D2034209 - other - narcotic treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	905602	MARYLAND	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	904656	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03919103	MEDICAID	MARYLAND
2	905602	OTHER	MARYLAND	DHMH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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