CAROLINE COUNTY HEALTH DEPT. MADC NPI 1417004698

NPI Information

NPI: 1417004698
Provider Name: CAROLINE COUNTY HEALTH DEPT. MADC

Other Name: CAROLINE MEDICAL ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
403 S 7TH ST
DENTON, MD
ZIP 21629
Phone: (410) 479-8065
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CAROLINE COUNTY HEALTH DEPT. MADC is an adult day care clinic center in Denton, MD. CAROLINE COUNTY HEALTH DEPT. MADC NPI is 1417004698. The provider is registered as an organization entity type.
The provider Other Name Is Caroline Medical Adult Day Care.

The provider's business location address is:

403 S 7TH ST
DENTON, MD
ZIP 21629-327
Phone: (410) 479-8065
Fax: (410) 479-4911

The provider's authorized official is Leland Spencer .
The authorized official title is Health Officer and has the following contact phone number (410) 479-8030.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 6/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	502503600	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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