ALLEGANY COUNTY HEALTH DEPARTMENT NPI 1134512403

NPI Information

NPI: 1134512403
Provider Name: ALLEGANY COUNTY HEALTH DEPARTMENT
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Specialization: Substance Abuse Treatment, Children
Entity Type: Organization
Other Name: BEHAVIORAL HEALTH JACKSON UNIT
Address: 10102 COUNTRY CLUB RD SE
CUMBERLAND, MD
ZIP 21502
Phone: (301) 777-2290

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NPI Details

ALLEGANY COUNTY HEALTH DEPARTMENT is a substance abuse treatment and children substance abuse rehabilitation facility in Cumberland, MD. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ALLEGANY COUNTY HEALTH DEPARTMENT NPI is 1134512403. The provider is registered as an organization entity type.
The provider Other Name Is Behavioral Health Jackson Unit.

The provider's business location address is:

10102 COUNTRY CLUB RD SE
CUMBERLAND, MD
ZIP 21502-339
Phone: (301) 777-2290
Fax: (301) 777-2141

The provider's authorized official is Sue V Raver .
The authorized official title is Allegany County Health Officer and has the following contact phone number (301) 759-5000.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.

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	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	904691	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	323817	OTHER		VALUE OPTIONS
2	603304100	MEDICAID	MARYLAND
3	277593	OTHER		MAMSI

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: 11/21/2025

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