Organization · Type 2 NPI

Prince George's County Health Department

Student Health Clinic/Center · Oxon Hill, MD

NPI number 1083102438 Active

Practice location

6701 Leyte Drive
Oxon Hill, MD 20745

Call (240) 724-1442 Map

Mailing address

1701 Mccormick Dr Ste 120
Largo, MD 20774-5329

Specialties and licenses

Taxonomy	Code	License
Adolescent Medicine (Family Medicine) Physician	207QA0000X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

Other student health clinic/center providers in Oxon Hill

CN SBHC Oxon Hill HSStudent Health Clinic/Center Oxon Hill, MD NPI 1598622516

See all in Oxon Hill →

NPI record

NPI: 1083102438
Entity type: Organization (Type 2)
Issued: May 1, 2018
Last updated: Feb 26, 2020
Status: Active
Subpart: Yes of Prince George's County Health Department

Other names

<unavail>
Oxon Hill- School Based Wellness · other name
Prince George's County Health Department-Sbw- Oxon Hill · other name

Authorized official

Tamala Butler
Credentialing Specialist
(301) 883-7822

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083102438

Prince George's County Health Department's National Provider Identifier is 1083102438, issued on May 1, 2018. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Oxon Hill, MD. The record was last updated on Feb 26, 2020.