Healthcare Provider Details

I. General information

NPI: 1962688861
Provider Name (Legal Business Name): FREDERICK COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 04/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 MONTEVUE LN
FREDERICK MD
21702-8214
US

IV. Provider business mailing address

350 MONTEVUE LN
FREDERICK MD
21702-8214
US

V. Phone/Fax

Practice location:
  • Phone: 301-600-2109
  • Fax: 301-600-3111
Mailing address:
  • Phone: 301-600-2109
  • Fax:

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: DR. BARBARA ANN BROOKMYER
Title or Position: HEALTH OFFICER
Credential: MD, MPH
Phone: 301-600-2509