Choptank Community Health System Inc

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

NPI 1497409130 · NPPES record last updated Feb 11, 2022

Key facts

NPI
1497409130
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
4322 Lovers LN
Trappe, MD 21673-1866
Phone
(410) 822-2219
Fax
(833) 454-2071
NPI assigned
Feb 11, 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.

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

4322 Lovers Ln
Trappe, MD 21673
Phone (410) 822-2219

Specialties & licenses

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

Addresses

Primary practice location

4322 Lovers LN
Trappe, MD 21673-1866

Mailing address

4322 Lovers LN
Trappe, MD 21673-1866
Phone (410) 822-2219

Other names

  • White Marsh Elementary School SBHC Doing business as

Other providers in Trappe, MD

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

Sources for this page

Verify at the official NPI Registry.