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NPI Code Detail

MEDICARE: PRINCEGEORGE'SCOUNTYHEALTHDEPTMENT

MEDICARE: PRINCEGEORGE'SCOUNTYHEALTHDEPTMENT
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
1332B00000XDurable Medical Equipment & Medical SuppliesMD

General Provider Information

NPI Number : 1710978325
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRINCEGEORGE'SCOUNTYHEALTHDEPTMENT
Provider Business Mailing Address
First Line : 1701 MCCORMICK DR
Second Line : 3003HOSIPTALDRIVE
City : LARGO
State : MD
Zip : 20774-5329
Country : US
Telephone Number : 301-883-7801
Fax Number : 301-883-7890
Provider Business Practice Location Address
First Line : 3003 HOSPITAL DR
Second Line : 1701MCCORMICKDRIVE
City : CHEVERLY
State : MD
Zip : 20785-1194
Country : US
Telephone Number : 301-883-7801
Fax Number :
Authorized Official
Title or Position : CLIENTINFORMATIONSERVICES
Name : MS. ANGELA FAIR
Credential :
Telephone Number : 301-883-7801
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/21/2022

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Directions to “PRINCEGEORGE'SCOUNTYHEALTHDEPTMENT ” Practice Location

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