MEDICARE: BALTIMORE COUNTY DEPARTMENT OF HEALTH

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1942346010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALTIMORE COUNTY DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	6401 YORK RD
Second Line	:	3RD FLOOR
City	:	BALTIMORE
State	:	MD
Zip	:	21212-2152
Country	:	US
Telephone Number	:	410-887-3740
Fax Number	:	410-377-4751

Provider Business Practice Location Address
First Line	:	142 BENNETT RD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-1316
Country	:	US
Telephone Number	:	410-887-3740
Fax Number	:	410-377-4751

Authorized Official
Title or Position	:	PRIVACY OFFICER
Name	:	DAVID TAYLOR
Credential	:
Telephone Number	:	410-887-2077

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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Directions to “BALTIMORE COUNTY DEPARTMENT OF HEALTH ” Practice Location

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