# PRINCE GEORGES COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRINCE GEORGES COUNTY HEALTH DEPARTMENT
- **Other names:** Northern Region - Outpatient
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124579875
- **Legal business name:** PRINCE GEORGES COUNTY HEALTH DEPARTMENT
- **Authorized official:** TAMALA BUTLER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (301) 883-7822

## Contact information

- **Practice address:** 3003 HOSPITAL DR, GROUND FLOOR, CHEVERLY, MD 20785-1194
- **Practice address phone:** (301) 583-5920
- **Practice address fax:** (301) 583-5950
- **Mailing address:** 3003 HOSPITAL DR, GROUND FLOOR, CHEVERLY, MD 20785-1194
- **Mailing address phone:** (301) 583-5920
- **Mailing address fax:** (301) 583-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 09/17/2020