Provider Demographics
NPI:1710110234
Name:ST OF MD/DHMH DORCHESTER CO HEALTH DEPT
Entity Type:Organization
Organization Name:ST OF MD/DHMH DORCHESTER CO HEALTH DEPT
Other - Org Name:DORCHESTER CO SCHOOL-BASED WELLNESS PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MACLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MSN
Authorized Official - Phone:410-228-3223
Mailing Address - Street 1:3 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2362
Mailing Address - Country:US
Mailing Address - Phone:410-228-3825
Mailing Address - Fax:410-228-7916
Practice Address - Street 1:1101 MACES LN
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2619
Practice Address - Country:US
Practice Address - Phone:410-228-0973
Practice Address - Fax:410-228-0513
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST OF MD/DHMH DORCHESTER CO HEALTH DEPT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare