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Choptank Community Health System Inc

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

NPI 1558031062 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1558031062
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
1103 Maces LN
Cambridge, MD 21613-2619
Phone
(410) 479-4306
Fax
(410) 479-1714
NPI assigned
Sep 16, 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

1103 Maces Ln
Cambridge, MD 21613

Specialties & licenses

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

Addresses

Primary practice location

1103 Maces LN
Cambridge, MD 21613-2619

Mailing address

1103 Maces LN
Cambridge, MD 21613-2619
Phone (410) 479-4306

Other names

  • Choptank Elementary School SBDP Doing business as

Other providers in Cambridge, MD

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

Sources for this page

Verify at the official NPI Registry.