Healthcare Provider Details

I. General information

NPI: 1518957141
Provider Name (Legal Business Name): COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DEERS HEAD HOSPITAL RD
SALISBURY MD
21801-3201
US

IV. Provider business mailing address

351 DEERS HEAD HOSPITAL RD
SALISBURY MD
21801-3201
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-4000
  • Fax: 410-543-4004
Mailing address:
  • Phone: 410-543-4000
  • Fax: 410-543-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number22-001
License Number StateMD

VIII. Authorized Official

Name: MARY BETH WAIDE
Title or Position: CEO
Credential:
Phone: 410-543-4000