POTOMAC RIDGE BEHAVIOAL HEALTH ES – NPI #1942426911
Chronic Disease Hospital

POTOMAC RIDGE BEHAVIOAL HEALTH ES is a chronic disease hospital located in CAMBRIDGE, MD. NPPES has assigned the NPI number 1942426911 to POTOMAC RIDGE BEHAVIOAL HEALTH ES on April 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 281PC2000X from the Health Care Provider Taxonomy code set, which is classified as Chronic Disease Hospital, specializing in Children

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. 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 POTOMAC RIDGE BEHAVIOAL HEALTH ES below.

NPI Profile for
POTOMAC RIDGE BEHAVIOAL HEALTH ES

NPI Number
1942426911
Enumeration Date

(more than 19 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
POTOMAC RIDGE BEHAVIOAL HEALTH ES
Primary location
821 FIELDCREST RD
CAMBRIDGE, MD 21613-9423
Phone: (410) 221-0288 Fax: (410) 228-9588
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN MISTRANGELO
ADMINISTRATOR
Phone: (410) 221-0288
Updated
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
281PC2000X
- Chronic Disease Hospital / Children (Primary)		 MD 09-001

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.