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OUTREACH RECOVERY II, LLC
NPI 1760090294
Internal Medicine - Addiction Medicine in Hagerstown, MD

Active since July 21, 2020
240 FREDERICK ST, HAGERSTOWN, MD 21740(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Mar 8, 2024, Jul 21, 2020 (3 updates tracked since 2020).

About Outreach Recovery Ii, Llc NPPES

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

OUTREACH RECOVERY II, LLC (NPI 1760090294) is a healthcare organization registered as an addiction medicine in Hagerstown, Maryland and active in the NPI registry since July 2020. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1760090294
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II, LLC
Location Address240 FREDERICK STHagerstown, MD 21740-6100
Mailing Address14205 Park Center Dr # 201202Laurel, MD 20707-5246 · (410) 800-4466
Phone(410) 800-4466
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateJuly 21, 2020
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1760090294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X
240 FREDERICK ST, Hagerstown, MD 21740
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Other Identifiers 1

Medicaid8249491676MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MASSOUD B. ALIZADEH M.D.,PA
Clinic/Center
240 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-8049
OUTREACH RECOVERY II, LLC
Counselor (Mental Health)
240 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (410) 800-4466

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 Outreach Recovery II, LLC's NPI number?

The NPI number for Outreach Recovery II, LLC is 1760090294. It was assigned to this organization in the NPPES registry on July 21, 2020.

Where is Outreach Recovery II, LLC located?

Outreach Recovery II, LLC is located at 240 Frederick St, Hagerstown, MD 21740. The listed phone number is (410) 800-4466.

What is Outreach Recovery II, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Outreach Recovery II, LLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.