Active NPI
Cecil County Health Department
- Public Health or Welfare Agency
- Elkton, MD
National Provider Identifier
1902924574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CECIL COUNTY HEALTH DEPARTMENT
- Practice address
- 401 Bow St
John M Byers Health Center
Elkton, MD 21921-5501 - Phone
- (410) 996-5550
- Fax
- (410) 996-5179
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Virginia R Bailey, M.D., M.P.H
- Title
- Health Officer
- Phone
- (410) 996-5550
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community Health Nurse Practitioner | 363LC1500X |
Addresses
Primary practice location
401 Bow St
John M Byers Health Center
Elkton, MD 21921-5501
Mailing address
401 Bow St
John M Byers Health Center
Elkton, MD 21921-5501
Phone (410) 996-5550
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056650101 | Medicaid | MD | |
| 1457383804 | Other | MD | NP |
| 702991802 | Medicaid | MD | |
| 1396241006 | Other | MD | PREVENTATIVE MEDICINE |
| 703051700 | Medicaid | MD | |
| 056650100 | Medicaid | MD | |
| 1396241006 | Medicaid | MD | |
| 1457383804 | Medicaid | MD |
Other names 1
- Virginia R. Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180509002305 | MD | MDPP Supplier - in-Person MDPP Supplier | 5991857419 | Practice locations: Elkton, MD |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1902924574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BOW ST",
"address_2": "JOHN M BYERS HEALTH CENTER",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215501",
"telephone_number": "410-996-5550",
"fax_number": "410-996-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOW ST",
"address_2": "JOHN M BYERS HEALTH CENTER",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215501",
"telephone_number": "410-996-5550",
"fax_number": "410-996-5179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CECIL COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "HEALTH OFFICER",
"authorized_official_telephone_number": "410-996-5550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.P.H"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056650101",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP",
"identifier": "1457383804",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "702991802",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVENTATIVE MEDICINE",
"identifier": "1396241006",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "703051700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056650100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396241006",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457383804",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia R. Bailey",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Virginia R. Bailey",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.