QUEEN ANNE'S COUNTY HEALTH DEPARTMENT NPI 1851799936

NPI Information

NPI: 1851799936
Provider Name: QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: QUEEN ANNE'S COUNTY ALCOHOL AND DRUG ABUSE SERVICES
Address: 205 N LIBERTY ST
CENTREVILLE, MD
ZIP 21617
Phone: (410) 758-1306

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NPI Details

QUEEN ANNE'S COUNTY HEALTH DEPARTMENT is a rehabilitation and substance use disorder clinic center in Centreville, MD. QUEEN ANNE'S COUNTY HEALTH DEPARTMENT NPI is 1851799936. The provider is registered as an organization entity type.
The provider Is Doing Business As Queen Anne's County Alcohol And Drug Abuse Services.

The provider's business location address is:

205 N LIBERTY ST
CENTREVILLE, MD
ZIP 21617-022
Phone: (410) 758-1306
Fax: (410) 758-2133

The provider's authorized official is Gary B Fry .
The authorized official title is Director and has the following contact phone number (410) 758-1306.

The enumeration date for this NPI number is 12/5/2014 and was last updated on 1/16/2015.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	750325	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	423239900	MEDICAID	MARYLAND
2	019364	OTHER	MARYLAND	VALUE OPTIONS
3	H93	OTHER	MARYLAND	CAREFRSIT BCBS OF MD
4	VA09	MEDICARE UPIN	MARYLAND
5	H93	OTHER	MARYLAND	BC&BS
6	H93	OTHER	MARYLAND	CAREFIRST BLUE CHOICE

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: 3/30/2025

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