PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (NPI# 1023091915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023091915 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Practice Address |
1701 Mccormick Dr Largo MD 20774-5329 |
| Practice Telephone | 3018837819 |
| Practice Fax Number | 3018837890 |
| Mailing Telephone | 3018837819 |
| Mailing Fax Number | 3018837890 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | GWENDOLYN CLERKLY (HEALTH OFFICER) |
| Authorized Official Telephone | 3018837819 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 70448 | 05 | |
| MD | 70452 | 05 | |
| MD | 23484 | 05 | |
| MD | 44915 | 05 | |
| MD | 09841 | 05 | |
| MD | 45975 | 05 | |
| MD | 70446 | 05 | |
| MD | 70476 | 05 | |
| MD | 70480 | 05 | |
| MD | 72015 | 05 | |
| MD | 73008 | 05 | |
| MD | 00343 | 05 | |
| MD | 70443 | 05 | |
| MD | 70450 | 05 | |
| MD | 70451 | 05 | |
| MD | 70465 | 05 | |
| MD | 70482 | 05 | |
| MD | 75012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1265920615 | Prince George's County Health Department | Clinic/Center | 6501 Columbia Park Rd, Hyattsville, MD 20785-3970 | 2018-05-01 |
| 1194213728 | Prince George's County Health Department | Family Medicine | 4200 57th Ave, Bladensburg, MD 20710-1710 | 2018-04-30 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1205262771 | Prince George's County Health Department | Clinic/Center | 3003 Hospital Dr Ste 1055, Cheverly, MD 20785-1194 | 2013-09-17 |
| 1083945125 | Prince George's County Health Department | Community/Behavioral Health | 3003 Hospital Drive - Ground Floor, Cheverly, MD 20785 | 2010-01-28 |
| 1114155694 | Prince George's County Health Department | Dentist | 3003 Hospital Dr Ste 1048, Cheverly, MD 20785-1194 | 2009-06-23 |
| 1447456751 | Prince George's County Health Department | Public Health or Welfare | 6701 Leyte Dr, Oxon Hill, MD 20745-2110 | 2007-06-23 |
| 1548487820 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr Fl 2, Largo, MD 20774-5326 | 2007-04-19 |
| 1871632539 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Road, Clinton, MD 20735-3630 | 2007-02-06 |
| Street Address |
1701 MCCORMICK DR |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467752 | Behavioral Health-prince Georges Health | Public Health or Welfare | 1701 Mccormick Dr, Suite 230, Largo, MD 20774-5329 | 2014-08-12 |
| 1982945655 | Prince George's County Health Department | Counselor | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2013-03-06 |
| 1700121506 | Patricia Anne Papa | Nurse Practitioner | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2012-12-05 |
| 1972817278 | Nicolyn Yvonne Nicholson | Nurse Practitioner | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2010-07-29 |
| 1144533969 | Frances Justine Caffie-wright | Nurse Practitioner | 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774-5329 | 2010-07-21 |
| 1881917441 | Prince George's County Health Department | Public Health or Welfare | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2010-03-10 |
| 1134355050 | Donald Shell | Family Medicine | 1701 Mccormick Dr, Suite 200, Largo, MD 20774-5329 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548487820 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr Fl 2, Largo, MD 20774-5326 | 2007-04-19 |
| 1932245883 | Prince George's County Health Dept | Public Health or Welfare | 1801 Mccormick Dr Ste 250, Largo, MD 20774-5370 | 2007-01-29 |
| 1427467752 | Behavioral Health-prince Georges Health | Public Health or Welfare | 1701 Mccormick Dr, Suite 230, Largo, MD 20774-5329 | 2014-08-12 |
| 1881917441 | Prince George's County Health Department | Public Health or Welfare | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2010-03-10 |
| 1386842219 | Prince George's County Health Department | Public Health or Welfare | 9201 Basil Ct, Suite 404, Largo, MD 20774-5343 | 2007-07-03 |
| 1427251966 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr, Suite 260, Largo, MD 20774-5326 | 2007-06-11 |
| 1245433788 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr, Suite 260, Largo, MD 20774-5326 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1720561376 | Dorchester County Behavioral Health - Mh | Public Health or Welfare | 524 Race St Apt 1, Cambridge, MD 21613-2398 | 2018-09-10 |
| 1003316407 | P&a Health Assessment and Management LLC | Public Health or Welfare | 6492 Landover Rd Ste D, Cheverly, MD 20785-1434 | 2018-02-13 |
| 1467999334 | Baltimore City Health Department | Public Health or Welfare | 1515 W North Ave Fl 2, Baltimore, MD 21217-1735 | 2017-01-30 |
| 1104378272 | Feed Your Soul Nutrition and Health | Public Health or Welfare | 3 S Carolina Ave, Pasadena, MD 21122-5437 | 2016-10-25 |
| 1730531799 | Tierra Pace | Public Health or Welfare | 3306 Stone Gate Blvd, Elkton, MD 21921-4152 | 2016-07-01 |
| 1942662846 | Bay Area Center for Independent Living, Inc. | Public Health or Welfare | 909 Progress Cir, Salisbury, MD 21804-2323 | 2016-03-22 |
| 1285094391 | House of Change, LLC | Public Health or Welfare | 11 Aynesley Ct, Owings Mills, MD 21117-6143 | 2016-03-02 |
| 1194193904 | B.v.p. Inc Dba Apps | Public Health or Welfare | 13 Wyndam Ct, Lutherville, MD 21093-3715 | 2015-09-10 |
| 1356718886 | Baltimore County Maryland | Public Health or Welfare | 124 Tollgate Rd, Owings Mills, MD 21117-3350 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.