Provider Demographics
NPI:1962772319
Name:QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRANG
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 1:206 N COMMERCE ST
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-1049
Practice Address - Country:US
Practice Address - Phone:410-758-0720
Practice Address - Fax:410-758-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPDZ000000452922OtherAETNA BETTER HEALTH MCO
MD1535749-B575OtherJHHC/PRIORITY PARTNERS
MD420887100Medicaid
MDBH47-0000OtherCAREFIRST BLUECROSS BLUESHIELD PROVIDER NUMBER