NPIMap

Organization Active NPI

St. Mary'S County Health Department

  • Student Health Clinic/Center
  • Lexington Park, MD
National Provider Identifier
1154068138
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ST. MARY'S COUNTY HEALTH DEPARTMENT
Practice address
19856 Three Notch Rd
Lexington Park, MD 20653-3560
Phone
(301) 863-4031
NPI assigned
May 19, 2022
Organization subpart
Yes
Parent organization
ST. MARY'S COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Meenakshi Garg Brewster
Title
Health Officer
Phone
(301) 475-4317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

19856 Three Notch Rd
Lexington Park, MD 20653-3560

Mailing address

PO Box 316
Leonardtown, MD 20650-0316
Phone (301) 475-4330

Other identifiers 1

IdentifierTypeStateIssuer
987230200MedicaidMD

Other names 1

  • St. Mary's County Health Department-SBHC Spring Ridge BH Other name

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S County Health Department10 organizations share this tax ID, including this one
Part of
St Mary'S County Health Department

Other organizations with this tax ID 9

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

Locations

19856 Three Notch Rd
Lexington Park, MD 20653
Phone (240) 434-6059

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1154068138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500316",
            "telephone_number": "301-475-4330",
            "fax_number": "301-475-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19856 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533560",
            "telephone_number": "301-863-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_middle_name": "GARG",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "301-475-4317"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987230200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's County Health Department-SBHC Spring Ridge BH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.