Organization Active NPI

Prince George's County Health Department

  • Public Health or Welfare Agency
  • Capitol Heights, MD
National Provider Identifier
1932254299
Registry record updated Mar 1, 2018
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
Practice address
501 Hampton Park Blvd.
Capitol Heights, MD 20743-3802
Phone
(301) 324-2872
Fax
(301) 324-2850
NPI assigned
Jan 24, 2007
Organization subpart
Yes
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Barbara Ann Banks-Wiggins
Title
Project Manager
Phone
(301) 883-7861

Specialties & licenses 1

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

Addresses

Primary practice location

501 Hampton Park Blvd.
Capitol Heights, MD 20743-3802

Mailing address

1701 McCormick Dr
Largo, MD 20774-5329
Phone (301) 324-2872

Other identifiers 2

IdentifierTypeStateIssuer
588361000OtherMDMA PROVIDER #
750121801MedicaidMD

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1932254299",
    "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": "301-324-2872",
            "fax_number": "301-324-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HAMPTON PARK BLVD.",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433802",
            "telephone_number": "301-324-2872",
            "fax_number": "301-324-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "BANKS-WIGGINS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "301-883-7861"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA PROVIDER #",
            "identifier": "588361000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750121801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.