VILLA MARIA OF FREDERICK COUNTY – NPI #1174788434
Clinic/Center

VILLA MARIA OF FREDERICK COUNTY is an AHC clinic located in FREDERICK, MD. NPPES has assigned the NPI number 1174788434 to VILLA MARIA OF FREDERICK COUNTY on July 25, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VILLA MARIA OF FREDERICK COUNTY” is a dba name, the actual legal business name for this organization is ASSOCIATED CATHOLIC CHARITIES, INC. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on Feb 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VILLA MARIA OF FREDERICK COUNTY below.

NPI Profile for
ASSOCIATED CATHOLIC CHARITIES, INC

NPI Number
1174788434
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASSOCIATED CATHOLIC CHARITIES, INC
Doing Business As (dba): VILLA MARIA OF FREDERICK COUNTY
Primary location
300 W 9TH ST
FREDERICK, MD 21701
Phone: (667) 600-3310 Fax:
1 Other location(s):
116 E 2nd St
Frederick, MD 21701-5360
Phone: (301) 694-6654
Mailing address
2300 DULANEY VALLEY RD
TIMONIUM, MD 21093-2739
Phone: (667) 600-2249 Fax: (667) 600-4068
Organization Subpart
No
Authorized Official
GLORIA REEVES
A/R AND BILLING MANAGER
Phone: (667) 600-2249
Updated
Certification Date
Feb 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for VILLA MARIA OF FREDERICK COUNTY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD110171421
medicaidMD110171416
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.