Provider Demographics
NPI:1427248269
Name:QUEEN ANNE'S COUNTY DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:QUEEN ANNE'S COUNTY DEPARTMENT OF HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHINNADURAI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVADASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-758-0720
Mailing Address - Street 1:206 N COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-1049
Mailing Address - Country:US
Mailing Address - Phone:410-758-0720
Mailing Address - Fax:410-758-2838
Practice Address - Street 1:891 LOVE POINT RD
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2189
Practice Address - Country:US
Practice Address - Phone:410-604-3731
Practice Address - Fax:410-604-3798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEEN ANNE'S COUNTY DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare