| Charles County Department Of Health | |
|
4545 Crain Hwy White Plains MD 20695-3045 | |
| (301) 609-6928 | |
| (301) 609-6930 |
| Full Name | Charles County Department Of Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4545 Crain Hwy, White Plains, Maryland |
| Authorized Official Name and Position | Debra S Bowling (BILLING MANAGER) |
| Authorized Official Contact | 3016096928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles County Department Of Health 4545 Crain Hwy White Plains MD 20695-3045 Ph: (301) 609-6928 | Charles County Department Of Health 4545 Crain Hwy White Plains MD 20695-3045 Ph: (301) 609-6928 |
| NPI Number | 1144646472 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144646472 | NPI | - | NPPES |
| 420862500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
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