Organization Active NPI

Harford County Health Department

Doing business as HCHD Edgewood Elementary 1396978417

  • Student Health Clinic/Center
  • Edgewood, MD
National Provider Identifier
1396978417
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
HARFORD COUNTY HEALTH DEPARTMENT
Doing business as
HCHD Edgewood Elementary 1396978417
Practice address
2100 Cedar Dr
Edgewood, MD 21040-2502
Phone
(410) 877-1033
Fax
(410) 420-3435
NPI assigned
Aug 25, 2009
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HARFORD COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Ms. Marcy Austin
Title
Deputy Health Officer
Phone
(410) 877-1033

Specialties & licenses 1

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

Addresses

Primary practice location

2100 Cedar Dr
Edgewood, MD 21040-2502

Mailing address

120 S Hays St
Bel Air, MD 21014-3615
Phone (410) 877-1033

Other identifiers 1

IdentifierTypeStateIssuer
411302102MedicaidMD

Other names 1

  • HCHD Edgewood Elementary 1396978417 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harford Cty HLTH Dept17 organizations share this tax ID, including this one
Part of
Harford Cty HLTH Dept

Other organizations with this tax ID 16

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

View all 16

Locations

2100 Cedar Dr
Edgewood, MD 21040
Phone (410) 612-1540

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1396978417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HAYS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143615",
            "telephone_number": "410-877-1033",
            "fax_number": "410-420-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CEDAR DR",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402502",
            "telephone_number": "410-877-1033",
            "fax_number": "410-420-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARFORD COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARFORD COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "DEPUTY HEALTH OFFICER",
        "authorized_official_telephone_number": "410-877-1033",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411302102",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCHD Edgewood Elementary 1396978417",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCHD Edgewood Elementary 1396978417",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.