Organization
DORCHESTER COUNTY HEALTH DEPARTMENT
Active
Parent organization
DORCHESTER COUNTY HEALTH DEPARTMENT
Other names
Dorchester County Drug and Alcohol Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DORCHESTER COUNTY HEALTH DEPARTMENT
Authorized official
MR. JOHN RANDOLPH WINSLOW MHS,CPP (PROGRAM DIRECTOR)
(410) 228-7714
Entity
Organization
Contact information
Practice address
310 GAY STREET, LOWER LEVEL, CAMBRIDGE, MD 21613-1898
(410) 228-7714
Mailing address
3 CEDAR STREET, CAMBRIDGE, MD 21613-2362
(410) 228-7714
(410) 228-8049
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
13090
MD
251K00000X
Public Health or Welfare Agency
MD-902199
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703191200
UNITED BEHAVORIAL HEALTH
MD
05
—
720081100
—
MD
01
—
MV4
BLUE CROSS/BLUE SHEILD
MD
Enumeration date
05/03/2006
Last updated
12/22/2011
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