1. Home
  2. Directory
  3. Maryland
  4. Bladensburg
  5. Clinic Center
  6. NPI Profile

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT-SBW-BLADENSBURG
NPI 1194213728
Clinic/Center - Student Health in Bladensburg, MD

Active since April 30, 2018
4200 57TH AVE, BLADENSBURG, MD 20710(240) 696-3356(301) 883-7890 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2020, Feb 26, 2020, May 3, 2018 (3 updates tracked since 2018).

About Prince George's County Health Department-sbw-bladensburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT-SBW-BLADENSBURG (NPI 1194213728) is a healthcare organization registered as a student health in Bladensburg, Maryland and active in the NPI registry since April 2018. The organization lists Tamala Butler, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1194213728
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NamePRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Location Address4200 57TH AVEBladensburg, MD 20710-1710
Mailing Address1701 Mccormick Dr Ste 120Largo, MD 20774-5329 · (301) 883-7822 · Fax (301) 883-7890
Phone(240) 696-3356
Fax(301) 883-7890
Organization SubpartYes
Authorized OfficialTamala ButlerCredentialing Specialist · (301) 883-7822
Enumeration DateApril 30, 2018
Last NPPES UpdateSeptember 17, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1194213728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
4200 57TH AVE, Bladensburg, MD 20710
Open in Google Maps ↗

Other Names 1

Other NamePrince George's County Health Department-sbw-bladensburg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prince George's County Health Department's NPI number?

The NPI number for Prince George's County Health Department is 1194213728. It was assigned to this organization in the NPPES registry on April 30, 2018. The provider is also known as Prince George's County Health Department-Sbw-Bladensburg.

Where is Prince George's County Health Department located?

Prince George's County Health Department is located at 4200 57th Ave, Bladensburg, MD 20710. The listed phone number is (240) 696-3356.

What is Prince George's County Health Department's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Prince George's County Health Department was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.