Basic Information
| Provider Information | |||||||||
| NPI: | 1326096751 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GARRETT COUNTY HEALTH DEPARTMENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1025 MEMORIAL DR | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | MD | ||||||||
| PostalCode: | 215504343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3013347706 | ||||||||
| FaxNumber: | 3013347701 | ||||||||
| Practice Location | |||||||||
| Address1: | 1025 MEMORIAL DR | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | MD | ||||||||
| PostalCode: | 215504343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3013347706 | ||||||||
| FaxNumber: | 3013347701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | OTTO | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | SUE | ||||||||
| AuthorizedOfficialTitleorPosition: | FISCAL ACCOUNTS TECHNICIAN II | ||||||||
| AuthorizedOfficialTelephone: | 3013347706 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.