NPIMap

Organization Active NPI

Wicomico County Health Department

  • Public Health or Welfare Agency
  • Salisbury, MD
National Provider Identifier
1013286111
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WICOMICO COUNTY HEALTH DEPARTMENT
Practice address
300 W Carroll St
Salisbury, MD 21801-5305
Phone
(410) 749-1244
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew McConaughey, MPH
Title
Health Officer
Phone
(410) 543-6930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

300 W Carroll St
Salisbury, MD 21801-5305

Mailing address

108 E Main St
Salisbury, MD 21801-4921
Phone (410) 543-6930

Other identifiers 1

IdentifierTypeStateIssuer
420874900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000135 MD Part B Supplier - Clinic/Group Practice 3779544952 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Salisbury, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wicomico County Health Department10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1013286111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "410-543-6930",
            "fax_number": "410-543-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-749-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICOMICO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-01-24",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "MCCONAUGHEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-543-6930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420874900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.