MEDICARE: HOWARD COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1558082446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	8930 STANFORD BLVD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5805
Country	:	US
Telephone Number	:	410-313-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 BASKET RING RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3415
Country	:	US
Telephone Number	:	410-313-6915
Fax Number	:

Authorized Official
Title or Position	:	FINANCE
Name	:	CARLETTA LYNN MCKNIGHT
Credential	:
Telephone Number	:	410-313-6300

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/08/2022

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Directions to “HOWARD COUNTY HEALTH DEPARTMENT ” Practice Location

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