GRANITE HOUSE INC NPI 1760408165

NPI Information

NPI: 1760408165
Provider Name: GRANITE HOUSE, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
288 E GREEN ST
WESTMINSTER, MD
ZIP 21157
Phone: (410) 876-3007
Get Directions

GRANITE HOUSE, INC is a mental health (including community mental health center) clinic center in Westminster, MD. GRANITE HOUSE, INC NPI is 1760408165. The provider is registered as an organization entity type.

The provider's business location address is:

288 E GREEN ST
WESTMINSTER, MD
ZIP 21157-410
Phone: (410) 876-3007
Fax: (410) 751-7797

The provider's authorized official is Spencer L Gear .
The authorized official title is Executive Director and has the following contact phone number (410) 876-3007.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/8/2007.

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	261QR0400X	Clinic/Center	Rehabilitation		MARYLAND	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		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	T595	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD FE
2	504L	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	MEDICARE PRACTICE ID
3	2095968	OTHER	MARYLAND	AETNA

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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