| Organization Name: | WICOMICO COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1013286111 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI BREWSTER (HEALTH OFFICER) |
| Mailing Address: | 108 E Main St Salisbury |
| State: | MD US |
| Postal Code: | 218014921 |
| Phone Number: | 4105436930 |
| Fax Number: | 4105436975 |
| NPI Enumeration Date: | 12/19/2011 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |