NPIMap

Organization Active NPI

Baltimore County Maryland

  • Student Health Clinic/Center
  • Essex, MD
National Provider Identifier
1376812198
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BALTIMORE COUNTY MARYLAND
Practice address
1500 E Homberg Ave
Essex, MD 21221-3717
Phone
(410) 887-4130
Fax
(410) 377-9646
NPI assigned
Dec 22, 2011
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1500 E Homberg Ave
Essex, MD 21221-3717

Mailing address

6401 York Rd
3Rd Floor
Baltimore, MD 21212-2152
Phone (410) 887-2077

Other identifiers 1

IdentifierTypeStateIssuer
420943500MedicaidMD

Other names 1

  • Dept of Health - Mars Estates School Wellness Ctr Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Comm MNTL69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1751932800000",
    "number": "1376812198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 YORK RD",
            "address_2": "3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122152",
            "telephone_number": "410-887-2077",
            "fax_number": "410-377-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HOMBERG AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213717",
            "telephone_number": "410-887-4130",
            "fax_number": "410-377-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COUNTY MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-887-0684"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420943500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Health - Mars Estates School Wellness Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.