Provider Demographics
NPI:1093495095
Name:ST. MARY'S COUNTY SHERIFF'S OFFICE
Entity Type:Organization
Organization Name:ST. MARY'S COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-475-4200
Mailing Address - Street 1:23150 LEONARD HALL DR
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-5801
Mailing Address - Country:US
Mailing Address - Phone:301-775-4200
Mailing Address - Fax:
Practice Address - Street 1:23150 LEONARD HALL DR
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-5801
Practice Address - Country:US
Practice Address - Phone:301-775-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. MARY'S COUNTY COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational HealthGroup - Multi-Specialty