Prince George's Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PRINCE GEORGE'S HEALTH DEPARTMENT

Doing business as

MA Transportation

Practice address

9314 Piscataway Rd
Clinton, MD 20735-3630

Phone

(301) 856-9449

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene Whitaker

Title

Manager, Client Information Service

Phone

(301) 883-7861

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MA Transportation Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316089071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MCCORMICK DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745329",
            "telephone_number": "301-883-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353630",
            "telephone_number": "301-856-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "MANAGER, CLIENT INFORMATION SERVICE",
        "authorized_official_telephone_number": "301-883-7861"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454470808000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MA Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prince George's County Health (Southern Region Treatment Program)
• Prince George's County Health Department
• Prince George's County Health Department
• Prince George's County Health Department (Maternal Health and Family Planning)
• Prince George's County Health Department (Southern Region Treatment Program - BHS)
• Dexter E. Pritchettt
• Privia Medical Group, LLC
• Privium Consultants LLC
• Mary Kathryn Proctor, CRNP
• Proflex Physical Therapy of Maryland, LLC

• Public Health or Welfare Agency in Clinton, MD
• Providers in Clinton, MD by specialty
• Public Health or Welfare Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.