NPI 1295134005

Prince Georges County Health Dept.

Organisation Preferred Provider Organization Capitol Hgts, MD

Practice location

Address: 301 Hampton Park Blvd, Capitol Hgts, MD 20743-3822
Phone: (301) 324-2838
Mailing address: 301 Hampton Park Blvd., Capital Hgts., MD 20743

Authorised official

Name: Barbara McNair
Title: Clinical Social Worker
Phone: (301) 324-2838

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 11921 (MD)

Other Preferred Provider Organization providers in Maryland →

Registry record

NPI: 1295134005
Entity type: Organization
NPI issued: 18 Aug 2014
Record last updated: 18 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.