NPIMap

Organization Active NPI

Wicomico County Health Department

  • Public Health or Welfare Agency
  • Salisbury, MD
National Provider Identifier
1508946047
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WICOMICO COUNTY HEALTH DEPARTMENT
Practice address
705 N Salisbury Blvd
Salisbury, MD 21801-4120
Phone
(410) 334-3401
NPI assigned
Oct 17, 2006
Reactivated
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Mr. Matthew McConaughey, MPH
Title
Health Officer
Phone
(410) 543-6930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

705 N Salisbury Blvd
Salisbury, MD 21801-4120

Mailing address

108 E Main St
Salisbury, MD 21801-4921
Phone (410) 543-6931

Other identifiers 5

IdentifierTypeStateIssuer
113970-1OtherMDDENTAL BENEFIT PROVIDER
400155900MedicaidMD
416943300MedicaidMD
409012800MedicaidMD
901100360OtherMDDORAL DENTAL

National Provider Directory

National Provider Directory
Tax ID family
Wicomico County Health Department10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

705 N Salisbury Blvd
Salisbury, MD 21801
Phone (410) 334-3401

Practitioners & affiliated clinicians

Practitioners 5

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1508946047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "410-543-6931",
            "fax_number": "410-543-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014120",
            "telephone_number": "410-334-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICOMICO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "deactivation_date": "2024-08-07",
        "reactivation_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MCCONAUGHEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-543-6930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDER",
            "identifier": "113970-1",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400155900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416943300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409012800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "901100360",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.