Healthcare Provider Details

I. General information

NPI: 1366598948
Provider Name (Legal Business Name): BALTIMORE COUNTY DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 RIVERTON RD
MIDDLE RIVER MD
21220-4122
US

IV. Provider business mailing address

6401 YORK RD
BALTIMORE MD
21212-2152
US

V. Phone/Fax

Practice location:
  • Phone: 410-887-3740
  • Fax: 410-887-4751
Mailing address:
  • Phone: 410-887-3740
  • Fax: 410-377-4751

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: TONIA ROSS
Title or Position: BILLING MANAGER
Credential:
Phone: 410-887-0684