Healthcare Provider Details

I. General information

NPI: 1588312862
Provider Name (Legal Business Name): HARFORD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N MAIN ST
BEL AIR MD
21014-3592
US

IV. Provider business mailing address

120 S HAYS ST
BEL AIR MD
21014-3615
US

V. Phone/Fax

Practice location:
  • Phone: 410-638-3060
  • Fax:
Mailing address:
  • Phone: 410-838-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCY AUSTIN
Title or Position: ACTING HEALTH OFFICER
Credential:
Phone: 410-877-1033