Provider Demographics
NPI:1609529627
Name:HARFORD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HARFORD COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING 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:410-877-2344
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:410-877-4545
Mailing Address - Fax:410-420-3435
Practice Address - Street 1:1321 WOODBRIDGE STATION WAY
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-3830
Practice Address - Country:US
Practice Address - Phone:410-612-1779
Practice Address - Fax:410-612-9181
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARFORD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-31
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty