NPIMap

Organization Active NPI

Charles County Health Department

  • Public Health or Welfare Agency
  • White Plains, MD
National Provider Identifier
1841377728
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHARLES COUNTY HEALTH DEPARTMENT
Practice address
4545 Crain Highway
White Plains, MD 20695-1050
Phone
(301) 609-6928
Fax
(301) 609-6939
NPI assigned
Oct 31, 2006
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Dr. Suzan Lowry, MD
Title
Health Officer
Phone
(301) 609-2535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MD Primary
Community/Behavioral Health Agency 251S00000X 9591 MD
Community/Behavioral Health Agency 251S00000X 9634 MD

Addresses

Primary practice location

4545 Crain Highway
White Plains, MD 20695-1050

Mailing address

PO Box 1050
4545 Crain Highway
White Plains, MD 20695-1050
Phone (301) 609-6928

Other identifiers 5

IdentifierTypeStateIssuer
703071100MedicaidMD
041843900MedicaidMD
265581100MedicaidMD
730323800MedicaidMD
776463400MedicaidMD

Other names 1

  • Charles County Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000900 MD Part B Supplier - Clinic/Group Practice 6204023708 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
Practice locations: White Plains, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Charles County Department of Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

4545 Crain Hwy
White Plains, MD 20695
Phone (301) 609-6900

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1841377728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "address_2": "4545 CRAIN HIGHWAY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206951050",
            "telephone_number": "301-609-6928",
            "fax_number": "301-609-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HIGHWAY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206951050",
            "telephone_number": "301-609-6928",
            "fax_number": "301-609-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "301-609-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "9591",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "9634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703071100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041843900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265581100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730323800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776463400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles County Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Charles County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.