Provider Demographics
NPI:1902924574
Name:CECIL COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CECIL COUNTY HEALTH DEPARTMENT
Other - Org Name:VIRGINIA R. BAILEY
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:410-996-5550
Mailing Address - Street 1:401 BOW ST
Mailing Address - Street 2:JOHN M BYERS HEALTH CENTER
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5501
Mailing Address - Country:US
Mailing Address - Phone:410-996-5550
Mailing Address - Fax:410-996-5179
Practice Address - Street 1:401 BOW ST
Practice Address - Street 2:JOHN M BYERS HEALTH CENTER
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5501
Practice Address - Country:US
Practice Address - Phone:410-996-5550
Practice Address - Fax:410-996-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD056650101Medicaid
MD1457383804OtherNP
MD702991802Medicaid
MD1396241006OtherPREVENTATIVE MEDICINE
MD703051700Medicaid
MD056650100Medicaid
MD1396241006Medicaid
MD1457383804Medicaid