Provider Demographics
NPI:1477671501
Name:HARFORD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HARFORD COUNTY HEALTH DEPARTMENT
Other - Org Name:PERSONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-877-1033
Mailing Address - Street 1:120 S HAYS ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3615
Mailing Address - Country:US
Mailing Address - Phone:410-877-1033
Mailing Address - Fax:410-420-3435
Practice Address - Street 1:120 S HAYS ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3615
Practice Address - Country:US
Practice Address - Phone:410-638-8404
Practice Address - Fax:410-420-3435
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARFORD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-27
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD186330400Medicaid