SOMERSET COUNTY HEALTH DEPARTMENT
NPI 1356554018
Public Health or Welfare in Princess Anne, MD

NPI Status: Active since May 08, 2007

Contact Information

11674 SOMERSET AVENUE
PRINCESS ANNE, MD
ZIP 21853
Phone: (443) 523-1700
Fax: (410) 651-5680

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 21D0649934
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-31-2026

About SOMERSET COUNTY HEALTH DEPARTMENT

This page provides the complete NPI Profile along with additional information for Somerset County Health Department, a provider established in Princess Anne, Maryland operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1356554018 assigned on May 2007. The practitioner's primary taxonomy code is 251K00000X with license number REG #14305 ASAM (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Lori Brewster Ms, Aprn/bc, Lcadc (Health Officer)

NPI
1356554018
Provider Name
SOMERSET COUNTY HEALTH DEPARTMENT
Entity Type
Organization
Location Address
11674 SOMERSET AVENUE PRINCESS ANNE, MD 21853
Location Phone
(443) 523-1700
Location Fax
(410) 651-5680
Mailing Address
8928 SIGN POST ROAD SUITE 2 WESTOVER, MD 21871
Mailing Phone
(443) 523-1700
Mailing Fax
(410) 651-5680
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2007
Last Update Date
08-22-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
REG #14305 ASAM
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI BREWSTER MS, APRN/BC, LCADC

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(443) 523-1712

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
251269OTHER (01)MDMAMSI
632504100OTHER (01)MDAPS PROVIDER
705051800MEDICAID (05)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0649934
Facility Type
Community Clinic
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
CYNTHIA CALIXTE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Somerset County Health Department in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356554018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106105802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 8 + 0 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1356554018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356554018, enumerated in the NPI registry as an "organization" on May 08, 2007

The provider is located at 11674 Somerset Avenue Princess Anne, Md 21853 and the phone number is (443) 523-1700

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 21D0649934 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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