Healthcare Provider Details

I. General information

NPI: 1740908789
Provider Name (Legal Business Name): WASHINGTON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N BURHANS BLVD
HAGERSTOWN MD
21742-3173
US

IV. Provider business mailing address

1302 PENNSYLVANIA AVE
HAGERSTOWN MD
21742-3108
US

V. Phone/Fax

Practice location:
  • Phone: 240-313-3270
  • Fax:
Mailing address:
  • Phone: 240-313-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAWN STONER
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-313-3436