Organization Active NPI

Prince George's County Health Department

Doing business as Colorectal Cancer

  • Public Health or Welfare Agency
  • Largo, MD
National Provider Identifier
1427251966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Doing business as
Colorectal Cancer
Practice address
1801 McCormick Dr
Suite 260
Largo, MD 20774-5326
Phone
(301) 883-3524
NPI assigned
Jun 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Darlene Whitaker
Title
Manager Revenue
Phone
(301) 883-7861

Specialties & licenses 1

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

Addresses

Primary practice location

1801 McCormick Dr
Suite 260
Largo, MD 20774-5326

Mailing address

1701 McCormick Dr
Largo, MD 20774-5329
Phone (301) 883-7861

Other identifiers 1

IdentifierTypeStateIssuer
74003OtherMDCOLORECTAL CANCER

Other names 1

  • Colorectal Cancer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prince Georges County Health Dept48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

1801 McCormick Dr
Ste 260
Largo, MD 20774
Phone (301) 883-3524

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427251966",
    "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": "1801 MCCORMICK DR",
            "address_2": "SUITE 260",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745326",
            "telephone_number": "301-883-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "MANAGER REVENUE",
        "authorized_official_telephone_number": "301-883-7861",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORECTAL CANCER",
            "identifier": "74003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorectal Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • 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.