Choptank Community Health System, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Easton, MD
NPI 1124339635 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1124339635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
- Practice address
- 307 Glenwood Ave
Easton, MD 21601-4104 - Phone
- (410) 822-0550
- Fax
- (833) 914-0414
- NPI assigned
- Jun 30, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Authorized official
- Name
- Sara Rich
- Title
- Ceo
- Phone
- (410) 479-4306
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Choptank Community Health System Inc
- Part of
- Choptank Community Health System Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MD | Yes |
Addresses
Primary practice location
307 Glenwood Ave
Easton, MD 21601-4104
Mailing address
307 Glenwood Ave
Easton, MD 21601-4104
Phone (410) 822-0550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784381000 | Medicaid | MD |
Other names
- Easton Elementary School Dobson SBHC
Other providers in Easton, MD
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System, Inc.
- Choptank Community Health System, Inc.
- Choptank Community Health System, Inc.
- Robert Chou
- Manjit S Chowdhary
- Jennifer Lynn Christ
All providers in Easton, MD · Federally Qualified Health Center (FQHC) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.