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Tidalhealth Peninsula Regional, Inc.

Organization Active NPI Adult Mental Health Clinic/Center · Crisfield, MD

NPI 1306507579 · NPPES record last updated Jan 10, 2022

Key facts

NPI
1306507579
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Legal business name
TIDALHEALTH PENINSULA REGIONAL, INC.
Practice address
201 Hall Hwy
Crisfield, MD 21817-1237
Phone
(410) 968-1200
NPI assigned
Jan 10, 2022
Organization subpart
No

Authorized official

Name
Bruce Ishmael Ritchie
Title
Sr. Vice President/Cfo
Phone
(410) 543-7298

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Peninsula Regional Medical Center (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Yes
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

201 Hall Hwy
Crisfield, MD 21817-1237

Mailing address

PO Box 826880
Philadelphia, PA 19182-6880
Phone (410) 912-6989

Other names

  • TidalHealth Behavioral Health McCready Doing business as

Other providers in Crisfield, MD

All providers in Crisfield, MD · Adult Mental Health Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.