Provider Demographics
NPI:1396745634
Name:CAROLINE COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:CAROLINE COUNTY HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL ACCOUNTS CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SETTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-479-8084
Mailing Address - Street 1:18 DENTON PLZ
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-9501
Mailing Address - Country:US
Mailing Address - Phone:410-479-1882
Mailing Address - Fax:470-479-0052
Practice Address - Street 1:18 DENTON PLZ
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-9501
Practice Address - Country:US
Practice Address - Phone:410-479-1882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6297251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403958100Medicaid