Healthcare Provider Details

I. General information

NPI: 1922234962
Provider Name (Legal Business Name): BALTIMORE COUNTY DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 PLAYFIELD ST
BALTIMORE MD
21222-4500
US

IV. Provider business mailing address

6401 YORK RD 3RD FLOOR
BALTIMORE MD
21212-2152
US

V. Phone/Fax

Practice location:
  • Phone: 410-887-7182
  • Fax:
Mailing address:
  • Phone: 410-887-3740
  • Fax: 410-377-9646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID C. TAYLOR
Title or Position: HIPAA COMPLIANCE MANAGER
Credential:
Phone: 410-887-2702