NPIMap

Organization Active NPI

State of Maryland

  • Public Health or Welfare Agency
  • Prince Frederick, MD
National Provider Identifier
1154345981
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
D50213 Issued in MD
Legal business name
STATE OF MARYLAND
Practice address
975 Solomons Island Rd N
Prince Frederick, MD 20678-0980
Phone
(410) 535-5400
Fax
(410) 535-5285
NPI assigned
Jul 26, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Laurence B Polsky, M.D., M.P.H.NPI 1952473845
Title
Health Officer
Phone
(410) 535-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X D50213 MD Primary

Addresses

Primary practice location

975 Solomons Island Rd N
Prince Frederick, MD 20678-0980

Mailing address

PO Box 980
975 Solomons Island Rd N
Prince Frederick, MD 20678-0980
Phone (410) 535-5400

Other names 1

  • Calvert County Health Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Calvert Cty HLTH Dept21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

975 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1154345981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "address_2": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780980",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780980",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "POLSKY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-535-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "D50213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.