ACHD-OUTPATIENT ADDICTIONS
NPI 1003968991
Community/Behavioral Health in Cumberland, MD

NPI Status: Active since January 18, 2007

Contact Information

12501-12503 WILLOWBROOK RD
CUMBERLAND, MD
ZIP 21502
Phone: (301) 759-5050
Fax: (301) 777-2098

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 21D2091197
  • CLIA Cert. Type: Other - PUBLIC SCHOOL HEALTH ROOM
  • CLIA Exp. Date: 02-08-2027

About ACHD-OUTPATIENT ADDICTIONS

This page provides the complete NPI Profile along with additional information for Achd-outpatient Addictions, a provider established in Cumberland, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003968991 assigned on January 2007. The practitioner's primary taxonomy code is 251S00000X with license number 903069 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Achd-outpatient Addictions. The authorized official of this NPI record is Dr. Sue Raver Md, Mph (Health Officer)

NPI
1003968991
Provider Legal Name
ALLEGANY COUNTY HEALTH DEPARTMENT
Other Organization Name
ACHD-OUTPATIENT ADDICTIONS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
12501-12503 WILLOWBROOK RD CUMBERLAND, MD 21502
Location Phone
(301) 759-5050
Location Fax
(301) 777-2098
Mailing Address
PO BOX 1745 CUMBERLAND, MD 21501
Mailing Phone
(301) 759-5000
Mailing Fax
(301) 777-2098
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-18-2007
Last Update Date
08-06-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
903069
License State
MD
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

903070 (MD)
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

903068 (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.

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.

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

DR. SUE RAVER MD, MPH

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

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
VA01MEDICARE PIN (08) 
604116-04OTHER (01)CAREFIRST BCBS
NU1OTHER (01)GHMSI
1059446OTHER (01)CIGNA
323817OTHER (01)VALUE OPTIONS
55752NOOTHER (01)PRIORITY PARTNERS (MCO)
KOOTHER (01)MAGELLAN
351541OTHER (01)MAMSI
8480502OTHER (01)UBH (MCO)
O2KOOTHER (01)MAGELLAN
702001500MEDICAID (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
21D2091197
Facility Type
Other - PUBLIC SCHOOL HEALTH ROOM
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
JENNIFER CORDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Achd-outpatient Addictions to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003968991, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 8 + 6 + 1 + 6 + 9 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003968991.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003968991, enumerated as an "organization" on January 18, 2007.

The provider is located at 12501-12503 WILLOWBROOK RD CUMBERLAND, MD 21502 and the phone number is (301) 759-5050.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Cigna. Please consult your insurance carrier or call the provider to verify.