1356961510 NPI number — COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356961510 NPI number — COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356961510
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 W. PRESTON STREET, SECRETARY'S OFFICE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-767-4639
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 S. PACA ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-260-3190
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2020

Additional Information

Authorized Official

Authorized Official Last Name:
SCHRADER
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
RICHARD
Authorized Official Title or Position:
SECRETARY OF HEALTH
Authorized Official Telephone Number:
410-767-4639

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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