Organization
HOWARD COUNTY PUBLIC SCHOOL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN JEAN DODGE (MEDICAID BILLING ANALYST)
(410) 313-6708
Entity
Organization
Contact information
Practice address
10910 ROUTE 108, ELLICOTT CITY, MD 21042
(410) 313-5361
(410) 313-5368
Mailing address
10910 ROUTE 108, ELLICOTT CITY, MD 21042
(410) 313-5368
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096800500
—
MD
05
—
541528400
—
MD
Enumeration date
04/12/2007
Last updated
09/29/2022
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