ALLEGANY COUNTY HEALTH DEPARTMENT
NPI 1790260941
Substance Abuse Rehabilitation Facility in Cumberland, MD

NPI Status: Active since October 03, 2018

Contact Information

12300 OLD WILLOW BRK RD SE
CUMBERLAND, MD
ZIP 21502
Phone: (301) 777-2497

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 21D0649875
  • CLIA Cert. Type: Other - HEALTH DEPARTMENT
  • CLIA Exp. Date: 04-24-2026

About ALLEGANY COUNTY HEALTH DEPARTMENT

This page provides the complete NPI Profile along with additional information for Allegany County Health Department, a provider established in Cumberland, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1790260941 assigned on October 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jenelle Mayer M.p.h (Health Officer)

NPI
1790260941
Provider Name
ALLEGANY COUNTY HEALTH DEPARTMENT
Entity Type
Organization
Location Address
12300 OLD WILLOW BRK RD SE CUMBERLAND, MD 21502
Location Phone
(301) 777-2497
Mailing Address
PO BOX 1745 CUMBERLAND, MD 21501
Mailing Phone
(301) 777-5000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-03-2018
Last Update Date
10-03-2018
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

JENELLE MAYER M.P.H

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(301) 759-5001

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
21D0649875
Facility Type
Other - HEALTH DEPARTMENT
Certificate Effective Date
April 25, 2024
Certificate Expiration Date
April 24, 2026
Laboratory Director
DR. JENNIFER P. CORDER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Allegany 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.
1790260941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718046098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 6 + 0 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790260941 is valid because the calculated check digit 1 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 1790260941, enumerated in the NPI registry as an "organization" on October 03, 2018

The provider is located at 12300 Old Willow Brk Rd Se Cumberland, Md 21502 and the phone number is (301) 777-2497

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider's CLIA number is 21D0649875 for a "other - health department" 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 October 03, 2018. 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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