Healthcare Provider Details
I. General information
NPI: 1730179961
Provider Name (Legal Business Name): COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2005
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6655 SYKESVILLE RD
SYKESVILLE MD
21784-7966
US
IV. Provider business mailing address
6655 SYKESVILLE RD
SYKESVILLE MD
21784-7966
US
V. Phone/Fax
- Phone: 410-970-7000
- Fax: 410-970-7005
- Phone: 410-970-7000
- Fax: 410-970-7005
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | 06-009 |
| License Number State | MD |
VIII. Authorized Official
Name: MS.
PAULA
A
LANGMEAD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MBA
Phone: 410-970-7000