NPIMap

Organization Active NPI

Carroll County Health Department

  • Public Health or Welfare Agency
  • Westminster, MD
National Provider Identifier
1366711145
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1242525 Issued in MD
Legal business name
CARROLL COUNTY HEALTH DEPARTMENT
Practice address
290 S Center St
Westminster, MD 21157-5219
Phone
(410) 876-2152
Fax
(410) 876-4988
NPI assigned
Dec 22, 2011
Organization subpart
Yes
Parent organization
STATE OF MARYLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Larry L. Leitch
Title
Health Officer
Phone
(410) 876-4972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1242525 MD Primary

Addresses

Primary practice location

290 S Center St
Westminster, MD 21157-5219

Mailing address

290 S Center St
Westminster, MD 21157-5219
Phone (410) 876-2152

Other identifiers 7

IdentifierTypeStateIssuer
1366711145OtherMDNPI
600001772OtherPALMETTO RR
702851201MedicaidMD
640003221OtherPALMETTO RR
1275802050OtherNPI
420875700MedicaidMD
420876500MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140423000698 MD Part B Supplier - Clinic/Group Practice 6305078593 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westminster, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carroll County Health Department7 organizations share this tax ID, including this one
Part of
Howard County Health de

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1366711145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575219",
            "telephone_number": "410-876-2152",
            "fax_number": "410-876-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575219",
            "telephone_number": "410-876-2152",
            "fax_number": "410-876-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MARYLAND",
        "enumeration_date": "2011-12-22",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "LEITCH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-876-4972"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "1242525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366711145",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "600001772",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702851201",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "640003221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275802050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420875700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420876500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.