FREDERICK COUNTY PRP – NPI #1437453651
Clinic/Center

FREDERICK COUNTY PRP is an AHC clinic located in FREDERICK, MD. NPPES has assigned the NPI number 1437453651 to FREDERICK COUNTY PRP on January 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FREDERICK COUNTY PRP” is a dba name, the actual legal business name for this organization is ASSOCIATED CATHOLIC CHARITIES, INC.. This provider is also associated with 2 additional names listed below. 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 6 years ago on Jan 03, 2020. 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 FREDERICK COUNTY PRP below.

NPI Profile for
ASSOCIATED CATHOLIC CHARITIES, INC.

NPI Number
1437453651
Enumeration Date

(more than 15 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): FREDERICK COUNTY PRP
Other name(s)
All associated names:
Doing Business As (dba)
FREDERICK COUNTY PRP
Doing Business As (dba)
Villa Maria Behavioral Health Services of Frederick County PRP
Primary location
300 W 9TH ST
FREDERICK, MD 21701-4541
Phone: (667) 600-3310 Fax:
1 Other location(s):
111 E Church St
Frederick, MD 21701-5403
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 MGR
Phone: (667) 600-2249
Updated
Certification Date
Jan 03, 2020

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 FREDERICK COUNTY PRP

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
MEDICAIDMD419835201
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.