NPIMap

Organization Active NPI

Harford County Health Department

  • Public Health or Welfare Agency
  • Edgewood, MD
National Provider Identifier
1942579073
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HARFORD COUNTY HEALTH DEPARTMENT
Practice address
1321 Woodbridge Station Way
Edgewood, MD 21040-3830
Phone
(410) 612-1779
Fax
(410) 612-9183
NPI assigned
Dec 19, 2011
Organization subpart
Yes
Parent organization
HARFORD COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Marcy R Austin
Title
Deputy Health Officer
Phone
(410) 877-1033

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1321 Woodbridge Station Way
Edgewood, MD 21040-3830

Mailing address

120 S Hays St
Bel Air, MD 21014-3615
Phone (410) 877-1033

Other practice location 1

120 S Hays St
Bel Air, MD 21014-3615
Phone (410) 877-1027

Other practice location 2

1 N Main St
Bel Air, MD 21014-3592
Phone (410) 877-1027

Other practice location 3

253 Paradise Rd
Aberdeen, MD 21001-2324
Phone (410) 273-5681

Other identifiers 1

IdentifierTypeStateIssuer
420861700MedicaidMD

Other names 1

  • HCHD Clinical Health Services 1942579073 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150427000991 MD Part B Supplier - Clinic/Group Practice 9739108903 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Edgewood, MD; Bel Air, MD

National Provider Directory

National Provider Directory
Tax ID family
Harford Cty HLTH Dept17 organizations share this tax ID, including this one
Part of
Harford Cty HLTH Dept

Other organizations with this tax ID 16

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

View all 16

Locations

1321 Woodbridge Station Way
Edgewood, MD 21040
Phone (410) 612-1779

2015 Pulaski Hwy
Havre de Grace, MD 21078

Other NPIs on the same Medicare enrollment 1

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

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1942579073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HAYS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143615",
            "telephone_number": "410-877-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WOODBRIDGE STATION WAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403830",
            "telephone_number": "410-612-1779",
            "fax_number": "410-612-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Hays St",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143615",
            "country_code": "US",
            "telephone_number": "410-877-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143592",
            "country_code": "US",
            "telephone_number": "410-877-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "253 Paradise Rd",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210012324",
            "country_code": "US",
            "telephone_number": "410-273-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARFORD COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARFORD COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DEPUTY HEALTH OFFICER",
        "authorized_official_telephone_number": "410-877-1033"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420861700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCHD Clinical Health Services 1942579073",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.