Mountain Md Prp

LBN: Associated Catholic Charities, Inc
Mountain Md Prp is an health care organization with primary practice located at 308 Virginia Ave , Cumberland MD 21502-4559. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Associated Catholic Charities, Inc can be contacted via phone (667) 600-2110, or through Reeves, Gloris via phone (667) 600-2249.

Contact Information

Primary practice address
308 Virginia Ave Cumberland MD 21502-4559
Phone: (667) 600-2110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reeves, Gloris
Phone: (667) 600-2249

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1447554662
LBN Legal business name Associated Catholic Charities, Inc
DBA Doing business as Mountain Md Prp
Authorized official Reeves, Gloris
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447554662 NPPES
Maryland MEDICAID 419835207
Maryland MEDICAID 419835200

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