NPIMap

Organization Active NPI

Choptank Community Health System Inc

Doing business as Grasonville Head Start Dental Services

  • Federally Qualified Health Center (FQHC)
  • Grasonville, MD
National Provider Identifier
1326763376
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Doing business as
Grasonville Head Start Dental Services
Practice address
5441 Main St
Grasonville, MD 21638-1134
Phone
(410) 479-5772
Fax
(410) 479-8397
NPI assigned
Oct 11, 2022
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOPTANK COMMUNITY HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Rich
Title
Ceo
Phone
(410) 479-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5441 Main St
Grasonville, MD 21638-1134

Mailing address

5441 Main St
Grasonville, MD 21638-1134
Phone (410) 479-5772

Other names 1

  • Grasonville Head Start Dental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caroline Health Service103 organizations share this tax ID, including this one
Part of
Caroline Health Service

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5441 Main St
Grasonville, MD 21638
Phone (410) 479-5772

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1326763376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 MAIN ST",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381134",
            "telephone_number": "410-479-5772",
            "fax_number": "410-479-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 MAIN ST",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381134",
            "telephone_number": "410-479-5772",
            "fax_number": "410-479-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK COMMUNITY HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOPTANK COMMUNITY HEALTH SYSTEM INC",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-479-4306"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grasonville Head Start Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.