Organization Name: | ST. MARY'S COUNTY HEALTH DEPARTMENT |
NPI Number: | 1033380241 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM B. ICENHOWER (HEALTH OFFICER) |
Mailing Address: | 21580 Peabody St Leonardtown |
State: | MD US |
Postal Code: | 206502962 |
Phone Number: | 3014754330 |
Fax Number: | 3014759425 |
NPI Enumeration Date: | 03/14/2008 |
NPI Last Update Date: | 10/27/2011 |
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: |