Organization
PRINCE GEORGES COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGES COUNTY HEALTH DEPARTMENT
Other names
Northern Region - Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGES COUNTY HEALTH DEPARTMENT
Authorized official
TAMALA BUTLER (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DR, GROUND FLOOR, CHEVERLY, MD 20785-1194
(301) 583-5920
(301) 583-5950
Mailing address
3003 HOSPITAL DR, GROUND FLOOR, CHEVERLY, MD 20785-1194
(301) 583-5920
(301) 583-5950
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10839445125
OTHER NPI - TYPE 50
MD
Enumeration date
10/18/2016
Last updated
09/17/2020
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