Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official
GWENDOLYN CLERKLY (HEALTH OFFICER)
(301) 883-7819
Entity
Organization
Contact information
Practice address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7819
(301) 883-7890
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7819
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343
—
MD
05
—
09841
—
MD
05
—
23484
—
MD
05
—
44915
—
MD
05
—
45975
—
MD
05
—
70443
—
MD
05
—
70446
—
MD
05
—
70448
—
MD
05
—
70450
—
MD
05
—
70451
—
MD
05
—
70452
—
MD
05
—
70465
—
MD
05
—
70476
—
MD
05
—
70480
—
MD
05
—
70482
—
MD
05
—
72015
—
MD
05
—
73008
—
MD
05
—
75012
—
MD
Enumeration date
11/23/2005
Last updated
03/01/2018
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