Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official
BARBARA ANN BANKS-WIGGINS (PROJECT MANAGER)
(301) 883-7861
Entity
Organization
Contact information
Practice address
501 HAMPTON PARK BLVD., CAPITOL HEIGHTS, MD 20743-3802
(301) 324-2872
(301) 324-2850
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 324-2872
(301) 324-2850
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588361000
MA PROVIDER #
MD
05
—
750121801
—
MD
Enumeration date
01/24/2007
Last updated
03/01/2018
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