NPIMap

Organization Active NPI

Kent County Health Dept

  • Public Health or Welfare Agency
  • Chestertown, MD
National Provider Identifier
1295931830
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
D99941 Issued in MD
Legal business name
KENT COUNTY HEALTH DEPT
Practice address
125 S Lynchburg St
Chestertown, MD 21620-1146
Phone
(410) 778-1350
NPI assigned
Jun 21, 2007
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Angela Young
Title
Administrator
Phone
(410) 778-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X D99941 MD Primary

Addresses

Primary practice location

125 S Lynchburg St
Chestertown, MD 21620-1146

Mailing address

125 S Lynchburg St
Chestertown, MD 21620-1146
Phone (410) 778-1350

Other identifiers 1

IdentifierTypeStateIssuer
703751101MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081016000405 MD Part B Supplier - Mass Immunization (Roster Biller Only) 9032139241 Practice locations: Chestertown, MD

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Kent County Health Department11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1295931830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S LYNCHBURG ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201146",
            "telephone_number": "410-778-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S LYNCHBURG ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201146",
            "telephone_number": "410-778-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-778-7032"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "D99941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703751101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.