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Choptank Community Health System, Inc.

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

NPI 1508097684 · NPPES record last updated Oct 30, 2020

Key facts

NPI
1508097684
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Practice address
10990 River Rd
Ridgely, MD 21660-1815
Phone
(410) 479-4653
Fax
(833) 914-0406
NPI assigned
Aug 6, 2009
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

10990 River Rd
Ridgely, MD 21660
Phone (410) 479-3246

Specialties & licenses

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

Addresses

Primary practice location

10990 River Rd
Ridgely, MD 21660-1815

Mailing address

10990 River Rd
Ridgely, MD 21660-1815
Phone (410) 479-4653

Other identifiers

IdentifierTypeStateIssuer
784381008MedicaidMD

Other names

  • North Caroline High School SBHC Doing business as

Other providers in Ridgely, MD

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

Sources for this page

Verify at the official NPI Registry.