Healthcare Provider Details

I. General information

NPI: 1215869003
Provider Name (Legal Business Name): CARROLL COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 S CENTER ST
WESTMINSTER MD
21157-5222
US

IV. Provider business mailing address

290 S CENTER ST
WESTMINSTER MD
21157-5222
US

V. Phone/Fax

Practice location:
  • Phone: 410-876-4977
  • Fax: 410-876-4988
Mailing address:
  • Phone: 410-876-4977
  • Fax: 410-876-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON LYNN WARD
Title or Position: FISCAL CHIEF I
Credential: MSAF
Phone: 410-876-4977