MEDICARE: DEPARTMENT OF HEALTH AND MENTAL HYGIENE

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	261QP0905X	State or Local Public Health Clinic/Center
2	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1811862550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Provider Business Mailing Address
First Line	:	6401 YORK RD STE 3
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-2130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 WINDER RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1729
Country	:	US
Telephone Number	:	443-809-1300
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	TONIA ROSS
Credential	:
Telephone Number	:	410-887-0684

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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Directions to “DEPARTMENT OF HEALTH AND MENTAL HYGIENE ” Practice Location

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