Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Queen Anne'S County Health Department

Substance Use Disorder Rehabilitation Clinic/Center in Centreville, MD · enumerated 2012 · authorized official Gary Fry, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174893556

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Registry record

Entity type Organization (Type 2)

Legal business name Queen Anne'S County Health Department

Other name <Unavail>

Parent organization Queen Anne'S County Health Department

Practice address 205 N Liberty St, Centreville, MD, 21617

Phone (410) 758-1306

Fax (410) 758-2133

Enumeration date Jan 3, 2012

Last updated in NPPES Dec 4, 2014

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 750325 (MD) Primary

Authorized official

Name Gary Fry

Title Program Director

Phone (410) 758-1306

Other identifiers

Identifier	Type	State	Issuer
420917600	Other	MD	JAI MEDICAL MA MCO
420917600	Other	MD	UNITED HEALTH CARE-MA MCO
01372281	Other	MD	AMERIGROUP MA MCO
420917600	Other	MD	MARYLAND PHYSICIANS CARE MA MCO
019364	Other	MD	RIVERSIDE MA MCO
019364	Other	MD	VALUE OPTIONS MA MCO
056064	Other	MD	PRIORITY PARTNERS PAC MCO
H93	Other	MD	CAREFIRST BCBS OF MD
01372281	Other	MD	AMERIGROUP PAC MCO
420917600	Other	MD	DIAMOND PLAN MA MCO
420917600	Other	MD	UNITED BEHAVIORAL HEALTH MA MCO
056064	Other	MD	PRIORITY PARTNERS MA MCO
420917600	Other	MD	MEDSTAR FAMILY MA MCO
420917600	Medicaid	MD	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Queen Anne'S County Health Department?

Queen Anne'S County Health Department is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-04.