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NPI Code Detail

MEDICARE: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

MEDICARE: PRINCE GEORGE'S 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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1881917441
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 3003 HOSPITAL DR
Second Line :
City : CHEVERLY
State : MD
Zip : 20785-1194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 MCCORMICK DR
Second Line :
City : LARGO
State : MD
Zip : 20774-5329
Country : US
Telephone Number : 301-883-7868
Fax Number :
Authorized Official
Title or Position : MANAGER, CLIENT INFORMATION SERVICE
Name : MRS. DARLENE WHITAKER
Credential :
Telephone Number : 301-883-7861
Provider Enumeration Date : 03/10/2010
Last Update Date : 03/10/2010

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Directions to “PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT ” Practice Location

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