MEDICARE: CAROLINE COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	6297	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396745634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINE COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	18 DENTON PLZ
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-9501
Country	:	US
Telephone Number	:	410-479-1882
Fax Number	:	470-479-0052

Provider Business Practice Location Address
First Line	:	18 DENTON PLZ
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-9501
Country	:	US
Telephone Number	:	410-479-1882
Fax Number	:

Authorized Official
Title or Position	:	FISCAL ACCOUNTS CLERK
Name	:	MS. SUMMER SCOTT SETTLE
Credential	:
Telephone Number	:	410-479-8084

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	04/05/2024

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Directions to “CAROLINE COUNTY HEALTH DEPARTMENT ” Practice Location

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