Provider Demographics
NPI:1972171890
Name:PRINCE GEORGES COUNTY, OFFICE OF THE SHERIFF
Entity Type:Organization
Organization Name:PRINCE GEORGES COUNTY, OFFICE OF THE SHERIFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SHERIFF
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROCCAPRIORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-780-8500
Mailing Address - Street 1:5303 CHRYSLER WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772
Mailing Address - Country:US
Mailing Address - Phone:301-780-2781
Mailing Address - Fax:301-780-7340
Practice Address - Street 1:5303 CHRYSLER WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772
Practice Address - Country:US
Practice Address - Phone:301-780-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRINCE GEORGES COUNTY, FIRE DEPT.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance