Provider Demographics
NPI:1770852675
Name:ALLEGANY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:ALLEGANY COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-759-5001
Mailing Address - Street 1:PO BOX 1745
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-1745
Mailing Address - Country:US
Mailing Address - Phone:301-759-5000
Mailing Address - Fax:301-777-5674
Practice Address - Street 1:12501 WILLOWBROOK RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2569
Practice Address - Country:US
Practice Address - Phone:301-759-5000
Practice Address - Fax:301-777-5674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD420877300Medicaid
K002K0OtherMAGELLAN BEHAVIORAL HEALTH
8480502OtherUNITED HEALTH CARE
VA01OtherCAREFIRST BCBS
147701060OtherMPC
55752NOOtherPRIORITY PARTNERS
NU1OtherGHMSI
0180409OtherUNITED HEALTH CARE
351541OtherMAMSI
323817OtherVALUE OPTIONS
1059446OtherCIGNA
604116-04OtherCAERFIRST BCBS
88888888OtherCAREFRIST BCBS
8480502OtherUNITED HEALTH CARE
55752NOOtherPRIORITY PARTNERS