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Organization

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT- SBW: FAIRMONT HEIGHTS H.S.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT- SBW: FAIRMONT HEIGHTS H.S.
Authorized official
TAMALA BUTLER (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization

Contact information

Practice address
6501 COLUMBIA PARK RD, HYATTSVILLE, MD 20785-3970
(240) 573-7255
(301) 883-7890
Mailing address
1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
(301) 883-7822
(301) 883-7890

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
05/01/2018
Last updated
09/17/2020
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