NPIMap

Organization Active NPI

Anne Arundel County Department of Health

  • State or Local Public Health Clinic/Center
  • Shady Side, MD
National Provider Identifier
1619758679
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Practice address
6243 Shady Side Rd
Shady Side, MD 20764-9689
Phone
(410) 222-7254
NPI assigned
Oct 6, 2023
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mary Lynn Bobbitt
Title
Deputy Director, Finance
Phone
(410) 222-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

6243 Shady Side Rd
Shady Side, MD 20764-9689

Mailing address

3 Harry S Truman Pkwy
Annapolis, MD 21401-7031
Phone (410) 222-7095

Other names 1

  • Lula G. Scott Community Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Cty29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

6243 Shady Side Rd
Shady Side, MD 20764
Phone (410) 222-7254

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1619758679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HARRY S TRUMAN PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017031",
            "telephone_number": "410-222-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 SHADY SIDE RD",
            "city": "SHADY SIDE",
            "state": "MD",
            "postal_code": "207649689",
            "telephone_number": "410-222-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "MARY LYNN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "410-222-7209"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lula G. Scott Community Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shady Side, MD

Sources for this page

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