Organization
CHARLES COUNTY COUNTY COMMISSIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI CHERRY (CHIEF)
(301) 609-3403
Entity
Organization
Contact information
Practice address
200 BALTIMORE ST, LA PLATA, MD 20646-3580
(301) 609-3400
Mailing address
PO BOX 789067, PHILADELPHIA, PA 19178-9067
(301) 609-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386BCH
BCBS GROUP PROVIDER #
MD
05
—
406085700
—
MD
01
—
K086
BCBS GROUP PROVIDER #
DC
Enumeration date
06/14/2006
Last updated
09/05/2025
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