Provider Demographics
NPI:1417519414
Name:HOWARD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HOWARD COUNTY HEALTH DEPARTMENT
Other - Org Name:CRADLEROCK ELEMENTARY SCHOOL-BASED WELLNESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH OFFICER, HOWARD COUNTY
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-313-6363
Mailing Address - Street 1:HOWARD COUNTY HEALTH DEPARTMENT
Mailing Address - Street 2:8930 STANDFORD BOULEVARD
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045
Mailing Address - Country:US
Mailing Address - Phone:410-313-7238
Mailing Address - Fax:410-313-6108
Practice Address - Street 1:CRADLEROCK ELEMENTARY SCHOOL-BASED WELLNESS CENTER
Practice Address - Street 2:6700 CRADLEROCK WAY
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:410-313-7238
Practice Address - Fax:410-313-6108
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOWARD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health