OrganizationActive
Prince George'S County Health Department
NPI 1194213728 · Student Health Clinic/Center · Bladensburg, MD
Provider details
- NPI number
- 1194213728
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prince George'S County Health Department
- Organization subpart
- Yes
- Authorized official
- Tamala Butler, Credentialing Specialist(301) 883-7822
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
4200 57th Ave
Bladensburg, MD 20710-1710
Phone: (240) 696-3356
Fax: (301) 883-7890
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Mccormick Dr Ste 120
Largo, MD 20774-5329
Other names (DBA / former)
- Other name
- Prince George'S County Health Department-Sbw-Bladensburg
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.