Healthcare Provider Details

I. General information

NPI: 1114159456
Provider Name (Legal Business Name): HARFORD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 TRIMBLE RD
JOPPA MD
21085-4822
US

IV. Provider business mailing address

120 S HAYS ST
BEL AIR MD
21014-3615
US

V. Phone/Fax

Practice location:
  • Phone: 410-877-1033
  • Fax: 410-420-3435
Mailing address:
  • Phone: 410-877-1033
  • Fax: 410-420-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARCY AUSTIN
Title or Position: DEPUTY HEALTH OFFICER
Credential:
Phone: 410-877-1033