NPIMap

Organization Active NPI

Baltimore County Maryland

  • Student Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1134499213
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BALTIMORE COUNTY MARYLAND
Practice address
1000 S Marlyn Ave
Baltimore, MD 21221-5939
Phone
(410) 887-4130
Fax
(410) 666-8748
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Tonia Ross
Title
Billing Manager
Phone
(410) 887-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1000 S Marlyn Ave
Baltimore, MD 21221-5939

Mailing address

6401 York Rd
3Rd Floor
Baltimore, MD 21212-2152
Phone (410) 887-2077

Other identifiers 1

IdentifierTypeStateIssuer
420941900MedicaidMD

Other names 1

  • Dept. of Health-Deep Creek Middle Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Lansdowne Highlands Com69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

1000 S Marlyn Ave
Essex, MD 21221
Phone (410) 238-0238

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1134499213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 YORK RD",
            "address_2": "3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122152",
            "telephone_number": "410-887-2077",
            "fax_number": "410-377-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MARLYN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212215939",
            "telephone_number": "410-887-4130",
            "fax_number": "410-666-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COUNTY MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-887-0684"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420941900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept. of Health-Deep Creek Middle Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.