# CALVERT COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes Prevention Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740848423
- **Authorized official:** LAURENCE POLSKY MD (HEALTH OFFICER)
- **Authorized official phone:** (410) 535-5400

## Contact information

- **Practice address:** 975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
- **Practice address phone:** (410) 535-5400
- **Practice address fax:** (410) 535-1955
- **Mailing address:** PO BOX 980, PRINCE FREDERICK, MD 20678-0980
- **Mailing address phone:** (410) 535-5400
- **Mailing address fax:** (410) 535-1955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 05/29/2019