Provider Demographics
NPI:1942579073
Name:HARFORD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HARFORD COUNTY HEALTH DEPARTMENT
Other - Org Name:HCHD CLINICAL HEALTH SERVICES 1942579073
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:R
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:
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:410-612-9183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARFORD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD420861700Medicaid