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JOPPA HEALTH SERVICES, INC.
NPI 1619026432
Clinic/Center - Methadone in Joppa, MD

Active since January 10, 2007CLIA 21D1070566 · Waiver
623 PULASKI HWY # A, JOPPA, MD 21085(410) 538-5809(410) 538-4249 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joppa Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOPPA HEALTH SERVICES, INC. (NPI 1619026432) is a healthcare organization registered as a methadone in Joppa, Maryland and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Brent Garrett Bowman, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1619026432
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameJOPPA HEALTH SERVICES, INC.
Location Address623 PULASKI HWY # AJoppa, MD 21085-3914
Mailing Address623 Pulaski Hwy # AJoppa, MD 21085-3914 · (410) 538-5809 · Fax (410) 538-4249
Phone(410) 538-5809
Fax(410) 538-4249
Organization SubpartNo
Authorized OfficialBrent Garrett BowmanAdministrative Director · (410) 259-4985
Enumeration DateJanuary 10, 2007
Last NPPES UpdateOctober 24, 2011
✔ NPI 1619026432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in MD · 11026
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
623 PULASKI HWY # A, Joppa, MD 21085
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Other Identifiers 2

OtherMD10077MMD · Fda Id Number
Medicaid026500400MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1070566

Joppa Health Services Inc · Joppa, MD
Active · expires Jul 2, 2027
CLIA Number21D1070566
Laboratory TypeOpioid Tx Program
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDr. Ephraim Y. Dagadu
Laboratory Phone(410) 538-5809
Laboratory LocationJoppa Health Services Inc623 Pulaski Hwy #a, Joppa, MD 21085
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joppa Health Services, Inc.'s NPI number?

The NPI number for Joppa Health Services, Inc. is 1619026432. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Joppa Health Services, Inc. located?

Joppa Health Services, Inc. is located at 623 Pulaski Hwy # A, Joppa, MD 21085. The listed phone number is (410) 538-5809.

What is Joppa Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Joppa Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1070566) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joppa Health Services, Inc. was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.