Organization Name: | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
NPI Number: | 1205262771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA CRANKFIELD-EDMOND (DIVISION MANAGER) |
Mailing Address: | 3003 Hospital Dr Ste 1055 Cheverly |
State: | MD US |
Postal Code: | 207851194 |
Phone Number: | 3015833700 |
Fax Number: | 3015833735 |
NPI Enumeration Date: | 09/17/2013 |
NPI Last Update Date: | 11/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |