PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (NPI# 1558857474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558857474 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Practice Address |
9314 Piscataway Rd Clinton MD 20735-3630 |
| Mailing Address |
1701 Mccormick Dr Ste 120 Largo MD 20774-5329 |
| Practice Telephone | 3018569400 |
| Practice Fax Number | 3018837890 |
| Mailing Telephone | 3018837822 |
| Mailing Fax Number | 3018837890 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | TAMALA BUTLER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3018837822 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| 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 |
9314 PISCATAWAY RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316089071 | Prince George's Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-02-12 |
| 1811449937 | Prince George's County Health | Community/Behavioral Health | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2016-10-25 |
| 1629452909 | John Kyle Yearick | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2015-07-16 |
| 1265840540 | Adiel Okeke | Counselor | 9314 Piscataway Rd, Suite 166, Clinton, MD 20735-3630 | 2014-07-30 |
| 1003224304 | Pamela Moody | Counselor | 9314 Piscataway Rd, Room 152, Clinton, MD 20735-3630 | 2014-07-30 |
| 1346658044 | Tracy Bushee | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-25 |
| 1831507557 | Eulanda F Shaw | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-25 |
| 1477960797 | Brenda Vance | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-18 |
| 1932516259 | Nijha Burgess | Counselor | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2014-07-18 |
| 1760516272 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700440369 | Gentle Hands Healthcare LLC | Clinic/Center | 135 Oak Meadow Dr, Clinton, MS 39056-6044 | 2019-04-29 |
| 1124295886 | Independent Physical Therapy | Clinic/Center | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2008-05-13 |
| 1386832764 | Mercy Specialty Clinic | Clinic/Center | 1410 North 4th Street, Clinton, IA 52732-2940 | 2007-10-10 |
| 1578600615 | Dewitt County Human Resource Center | Clinic/Center | 1150 Rt 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
| 1386019834 | Building Blocks Learning Center, LLC | Clinic/Center | 19 Robinson Rd, Clinton, NY 13323-1418 | 2015-12-09 |
| 1245626324 | Principal Care, LLC | Clinic/Center | 19 Robinson Rd, Clinton, NY 13323-1418 | 2015-04-15 |
| 1326302993 | Serc Rehabilitation Partners, LLC | Clinic/Center | 109 W Franklin St, Clinton, MO 64735-2007 | 2012-06-28 |
| 1134422041 | Tri County Community Health Council Inc | Clinic/Center | 306 Beaman St, Clinton, NC 28328-2908 | 2010-12-15 |
| 1679888382 | Benchmark Healthcare Services LLC | Clinic/Center | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2010-08-18 |
| Find all providers in CLINTON | ||||
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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.