Provider Demographics
NPI:1841210390
Name:COMPTROLLER OF MARYLAND CENTER PAYROLL BUREAU
Entity type:Organization
Organization Name:COMPTROLLER OF MARYLAND CENTER PAYROLL BUREAU
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YU-LING
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAO
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:410-704-4011
Mailing Address - Street 1:8000 YORK RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21252-0002
Mailing Address - Country:US
Mailing Address - Phone:410-704-2466
Mailing Address - Fax:410-704-3715
Practice Address - Street 1:8000 YORK RD
Practice Address - Street 2:WARD AND WEST
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-704-2466
Practice Address - Fax:410-704-3715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWSON UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1841210390Medicaid