PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT


Address: 6701 Leyte Drive, Oxon Hill, MD 20745
Phone: 2407241442

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (NPI# 1083102438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083102438
Entity Type Organization
Organization Name PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Other Organization Name OXON HILL- SCHOOL BASED WELLNESS
Practice Address 6701 Leyte Drive
Oxon Hill
MD 20745
Mailing Address 1701 Mccormick Dr Ste 120
Largo
MD 20774-5329
Practice Telephone 2407241442
Enumeration Date 2018-05-01
Last Update Date 2020-02-26
Authorized Official Name TAMALA BUTLER (CREDENTIALING SPECIALIST)
Authorized Official Telephone 3018837822
Is Organization Subpart Y
Parent Organization Name PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0000X Family Medicine
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Oxon Hill- School Based Wellness Other Name - Individual/Organization
Prince George's County Health Department-SBW- Oxon HIll Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1023091915 Prince George's County Health Department Public Health or Welfare 1701 Mccormick Dr, Largo, MD 20774-5329 2005-11-23

Office Location

Street Address 6701 LEYTE DRIVE
City OXON HILL
State MD
Zip Code 20745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568086304 Envue Eye & Laser Center LLC Ophthalmology 251 Harbor Blvd, Oxon Hill, MD 20745 2020-06-06
1902441264 Dean Hasan Pharmacist 6163 Oxon Hill Road, National Harbor, MD 20745 2019-11-11
1093360570 Ebony D Mckinley Social Worker 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 2019-08-02
1134691579 Lisa Mellynchuk Occupational Therapist 1400 Nalley Terrance, Room 16, Landover, MD 20745 2018-12-26
1841710746 Courtnee Carroll Technician 5612 Dundalk Dr, Oxon Hill, MD 20745 2017-06-21
1699217679 Charity Oronos Physical Therapist 6981 Oxon Hill Rd, Oxon Hill, MD 20745 2016-11-08
1689004913 Gerald Jerome Smith Dentist 5306 Wheeler Road, Oxon Hill, MD 20745 2013-11-22
1427487644 Harborside Urgent Care Clinic/Center 215 American Way, National Harbor, MD 20745 2013-11-07
1417385840 Nursing Unlimited Services, Inc Home Health 909 East Meadow Ct, Oxon Hill, MD 20745 2013-10-22
1811239668 Martina Jefferson Home Health Aide 1303 Iverson Street, #101, Oxon Hill, MD 20745 2013-03-20
Find all providers in zip 20745

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1689168452 Howard County Health Department Clinic/Center 7030 Banbury Dr, Hanover, MD 21076-2101 2018-06-15
1457849093 Prince George's County Health Department Clinic/Center 7000 Adelphi Road, Hyattsville, MD 20782 2018-04-30
1508386079 Howard County Health Department Clinic/Center 5460 Trumpeter Road, Hchd Wilde Lake High School-based Wellness Center, Columbia, MD 21044-2314 2017-06-26
1174043640 Howard County Health Department Clinic/Center 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 2017-06-26
1730632746 Howard County Health Department Clinic/Center 9151 Vollmerhausen Rd, Jessup, MD 20794-9517 2016-07-26
1396127411 Manan Harshadray Patel Clinic/Center 650 W Baltimore St Dept Of, Baltimore, MD 21201-1510 2015-06-25
1154751584 Morgan State University Health Center Clinic/Center 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 2013-11-21
1457784399 Baltimore County Maryland Clinic/Center 1701 Delvale Ave, Baltimore, MD 21222-1235 2013-08-14
1053753616 Bollman Bridge Elementary School-based Wellness Center Clinic/Center 8200 Savage-guilford Road, Jessup, MD 20794 2013-07-24
Find all providers with the same taxonomy

Competitor

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City OXON HILL
Zip Code 20745

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Dataset Information

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.

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