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Choptank Community Health System Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Federalsburg, MD

NPI 1457021099 · NPPES record last updated Sep 15, 2021

Key facts

NPI
1457021099
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
323 S University Ave
Federalsburg, MD 21632-1438
Phone
(410) 479-4306
Fax
(410) 479-1714
NPI assigned
Sep 15, 2021
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) 24

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

National Provider Directory

Tax ID family
Choptank Community Health System Inc (103 organizations share this tax ID)
Part of
Choptank Community Health System Inc

Locations

323 S University Ave
Federalsburg, MD 21632

Specialties & licenses

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

Addresses

Primary practice location

323 S University Ave
Federalsburg, MD 21632-1438

Mailing address

323 S University Ave
Federalsburg, MD 21632-1438
Phone (410) 479-4306

Other names

  • Federalsburg Judy Center Dental Services Doing business as

Other providers in Federalsburg, MD

All providers in Federalsburg, MD · Federally Qualified Health Center (FQHC) in Maryland

Sources for this page

Verify at the official NPI Registry.