NPIMap

Organization Active NPI

Baltimore County Maryland

  • Student Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1972873057
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BALTIMORE COUNTY MARYLAND
Practice address
1801 Turkey Point Rd
Baltimore, MD 21221-1734
Phone
(410) 887-4130
Fax
(410) 666-8748
NPI assigned
Jan 6, 2012
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Tonia Ross
Title
Billing Manager
Phone
(410) 887-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1801 Turkey Point Rd
Baltimore, MD 21221-1734

Mailing address

6401 York Rd
3Rd Floor
Baltimore, MD 21212-2152
Phone (410) 887-2077

Other identifiers 1

IdentifierTypeStateIssuer
420942700MedicaidMD

Other names 1

  • Dept. of Health-Chesapeake High Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Comm MNTL69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1801 Turkey Point Rd
Essex, MD 21221
Phone (240) 602-6626

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1972873057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 YORK RD",
            "address_2": "3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122152",
            "telephone_number": "410-887-2077",
            "fax_number": "410-377-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 TURKEY POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212211734",
            "telephone_number": "410-887-4130",
            "fax_number": "410-666-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COUNTY MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-887-0684"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420942700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept. of Health-Chesapeake High Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.