Healthcare Provider Details

I. General information

NPI: 1962771170
Provider Name (Legal Business Name): SOMERSET COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8928 SIGN POST ROAD SUITE 2
WESTOVER MD
21871
US

IV. Provider business mailing address

8928 SIGN POST ROAD SUITE 2
WESTOVER MD
21871
US

V. Phone/Fax

Practice location:
  • Phone: 443-523-1700
  • Fax: 410-651-5680
Mailing address:
  • Phone: 443-523-1700
  • Fax: 410-651-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberD0010189
License Number StateMD

VIII. Authorized Official

Name: LORI BREWSTER
Title or Position: HEALTH OFFICER
Credential: MS, APRN/BC, LCADC
Phone: 443-523-1712