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Choptank Community Health System Inc

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

NPI 1487370839 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1487370839
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
625 N Main St
Greensboro, MD 21639-1469
Phone
(410) 479-5772
Fax
(410) 479-8397
NPI assigned
Oct 18, 2022
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.

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

Locations

625 N Main St
Greensboro, MD 21639
Phone (410) 482-2476

Specialties & licenses

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

Addresses

Primary practice location

625 N Main St
Greensboro, MD 21639-1469

Mailing address

625 N Main St
Greensboro, MD 21639-1469
Phone (410) 479-5772

Other names

  • Greensboro Judy Center Dental Services Doing business as

Other providers in Greensboro, MD

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

Sources for this page

Verify at the official NPI Registry.