| Prince George's County Health Department | |
|
6501 Columbia Park Rd Hyattsville MD 20785-3970 | |
| (240) 573-7255 | |
| (301) 883-7890 |
| Full Name | Prince George's County Health Department |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 6501 Columbia Park Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Tamala Butler (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3018837822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince George's County Health Department 1701 Mccormick Dr Ste 120 Largo MD 20774-5329 Ph: (301) 883-7822 | Prince George's County Health Department 6501 Columbia Park Rd Hyattsville MD 20785-3970 Ph: (240) 573-7255 |
| NPI Number | 1265920615 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265920615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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