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BALTIMORE COUNTY MARYLAND NPI 1902175722


NPI Information

NPI: 1902175722
Provider Name: BALTIMORE COUNTY MARYLAND

Other Name: DEPT OF HEALTH - MIDDLE RIVER MIDDLE SCHOOL WELLNESS CTR

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
800 MIDDLE RIVER RD
MIDDLE RIVER, MD
ZIP 21220
Phone: (410) 887-4130
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BALTIMORE COUNTY MARYLAND is a student health clinic center in Middle River, MD. BALTIMORE COUNTY MARYLAND NPI is 1902175722. The provider is registered as an organization entity type.
The provider Other Name Is Dept Of Health - Middle River Middle School Wellness Ctr.

The provider's business location address is:

800 MIDDLE RIVER RD
MIDDLE RIVER, MD
ZIP 21220-545
Phone: (410) 887-4130
Fax: (410) 377-9646

The provider's authorized official is David C Taylor .
The authorized official title is Privacy Officer and has the following contact phone number (410) 887-2077.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 4/22/2014.


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
1261QS1000XClinic/CenterStudent HealthYes

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
1420955900MEDICAIDMARYLAND

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

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