Chester River Health Center
Organization Active NPI Clinic/Center · Chestertown, MD
NPI 1114290293 · NPPES record last updated Feb 20, 2012
Key facts
- NPI
- 1114290293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 14022 (MD)
- Legal business name
- CHESTER RIVER HEALTH CENTER
- Practice address
- 100 Brown St
Chestertown, MD 21620-1435 - Phone
- (410) 822-1000
- Fax
- (410) 822-4958
- NPI assigned
- Feb 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Samuel L Harris
- Title
- Director, Revenue Cycle Operations
- Phone
- (410) 822-1000
Other NPIs on the same Medicare enrollment 3
Practitioners 172
-
Subarna Adhikari, M.D.
-
Gopal Aggarwal, MD
-
Heather Marion Ames, M.D., PH.D.
-
Yitschok Halevi Applebaum, MD MPH
-
Christine Bacci, D.O.
-
Alison Marie Benko, CRNP
-
Barbara Brittell, PAC
-
Reginald M Brown, MD
-
Allen Patrick Burke, M.D.
-
Michael John Carlson, D.O.
-
Robert F Corder, MD
-
David Danner, M.D.
-
Robert William Desverreaux, M.D.,PH.D.
-
Michele Domenick, MD
-
Rachel Fanaroff, MD
-
David Douglas Gilbert, D.O.
-
Mark Adam Goldstein, M.D.
-
Luis Emilio Gomez Sr., M.D.
-
Tamara Marie Green, M.D.
-
Darcie M Hammer, MD
-
Christian H Hansen, M.D.
-
Robert A Heller, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050510000504 | MD | Part B Supplier - Clinic/Group Practice | 0749220671 |
Receives reassigned benefits from 191 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chestertown, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 14022 | MD | Yes |
Addresses
Primary practice location
100 Brown St
Chestertown, MD 21620-1435
Mailing address
100 Brown St
Chestertown, MD 21620-1435
Phone (410) 822-1000
Other names
- Chestertown Vascular Services
Other providers in Chestertown, MD
- Chesapeake Physical Therapy, LLC
- Chesapeake Speech Therapy Services, LLC
- Chesapeake Wellness Center
- Chesapeake Wellness Center
- Chester River Behavioral Health, LLC
- Chester River Health Lab
- Chester River Health Lab - Centreville
- Chester River Home Care & Hospice
- Chester River Home Care and Hospice
- Chester River Home Care and Hospice
All providers in Chestertown, MD · Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.