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Contact Information

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
1701 MCCORMICK DR
LARGO, MD20774-5329
 Phone: 301-883-7861
 Fax: 301-883-7890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Counselor

101Y00000X
 

Dental Public Health

1223D0001X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

NPI Number 1982945655
LBN Legal business name PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official DARLENE WHITAKER - (REVENUE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2013
Last updated 03/06/2013 - About 13 years ago
Identifiers
MD Medicaid 1083945125
MD Medicaid 1114155694
MD Medicaid 1205195013
MD Medicaid 1366711947
MD Medicaid 1578821153
MD Medicaid 1609938992
MD Medicaid 1871632539
MD Medicaid 1932254299
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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