Baltimore County Maryland

Organization Active NPI Public Health or Welfare Agency · Randallstown, MD

NPI 1174893259 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1174893259
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
BALTIMORE COUNTY MARYLAND
Practice address
3525 Resource Dr
Randallstown, MD 21133-4733
Phone
(410) 887-0600
Fax
(410) 377-9646
NPI assigned
Jan 6, 2012
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Lansdowne Highlands Com (69 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

3525 Resource Dr
Randallstown, MD 21133-4733

Mailing address

6401 York Rd
3Rd Floor
Baltimore, MD 21212-2130
Phone (410) 887-2077

Other identifiers

IdentifierTypeStateIssuer
420937100MedicaidMD

Other names

  • Dept of Health - Liberty Resource Ctr Other name

Other providers in Randallstown, MD

All providers in Randallstown, MD · Public Health or Welfare Agency in Maryland

Sources for this page

Verify at the official NPI Registry.