Provider Demographics
NPI:1386767143
Name:DORCHESTER COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:DORCHESTER COUNTY HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-228-3223
Mailing Address - Street 1:627 RACE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2333
Mailing Address - Country:US
Mailing Address - Phone:410-228-3223
Mailing Address - Fax:
Practice Address - Street 1:627 RACE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2333
Practice Address - Country:US
Practice Address - Phone:410-228-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD505593800Medicaid
MD057359OtherPRIORITY PARTNERS
MD0101610OtherAMERICHOICE UHC
MD=========OtherMARYLAND PHYSICIAN'S CARE
MD505593800Medicaid