NPIMap

Organization Active NPI

Prince George's County Health Department

  • Public Health or Welfare Agency
  • Cheverly, MD
National Provider Identifier
1699038281
Registry record updated Jun 19, 2012
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
Prince George's County Health Department
Practice address
3003 Hospital Dr
Cheverly, MD 20785-1194
Phone
(301) 883-7861
Fax
(301) 883-7890
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCE GEORG'S COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

3003 Hospital Dr
Cheverly, MD 20785-1194

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1366711947MedicaidMD

Other names 1

  • Prince George's County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prince Georges County Health Department48 organizations share this tax ID, including this one
Part of
Prince Georges County Health Department

Other organizations with this tax ID 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1699038281",
    "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",
            "fax_number": "301-883-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851194",
            "telephone_number": "301-883-7861",
            "fax_number": "301-883-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCE GEORG'S COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "301-883-7861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366711947",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince George's County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.