NPIMap

Organization Active NPI

Choptank Community Health System, Inc.

Doing business as Easton High School SBHC

  • Federally Qualified Health Center (FQHC)
  • Easton, MD
National Provider Identifier
1467763979
Registry record updated Oct 30, 2020
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
Easton High School SBHC
Practice address
723 Mecklenburg Ave
Easton, MD 21601-3311
Phone
(410) 819-0499
Fax
(833) 914-0416
NPI assigned
Jun 30, 2010
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 MD Primary

Addresses

Primary practice location

723 Mecklenburg Ave
Easton, MD 21601-3311

Mailing address

723 Mecklenburg Ave
Easton, MD 21601-3395
Phone (410) 819-0499

Other identifiers 1

IdentifierTypeStateIssuer
784381000MedicaidMD

Other names 1

  • Easton High School SBHC 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

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1467763979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MECKLENBURG AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013395",
            "telephone_number": "410-819-0499",
            "fax_number": "833-914-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 MECKLENBURG AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013311",
            "telephone_number": "410-819-0499",
            "fax_number": "833-914-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "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": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784381000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easton High School SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easton High School SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.