Organization Name: | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
NPI Number: | 1114155694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE) |
Mailing Address: | 5001 Silver Hill Rd 2nd Floor Suitland |
State: | MD US |
Postal Code: | 207465215 |
Phone Number: | 3015835900 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
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: |