Potomac Ridge Behavioral Health System

LBN: Potomac Ridge Behavioral Health Es
Potomac Ridge Behavioral Health System is an health care organization with primary practice located at 821 Fieldcrest Rd , Cambridge MD 21613-9423. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Potomac Ridge Behavioral Health Es can be contacted via phone (410) 221-0288, or through Knight, Warren via phone (301) 217-5411.

Contact Information

Primary practice address
821 Fieldcrest Rd Cambridge MD 21613-9423
Fax: (410) 228-9588
Website:
Authorized official contact:
Name: Knight, Warren

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1003074980
LBN Legal business name Potomac Ridge Behavioral Health Es
DBA Doing business as Potomac Ridge Behavioral Health System
Authorized official Knight, Warren
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated May 28th, 2008 - about 16 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 1003074980 NPPES
Maryland MEDICAID 414476700

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