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Choptank Community Health System Inc

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

NPI 1558040113 · NPPES record last updated Jul 12, 2023

Key facts

NPI
1558040113
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
601 High St
Chestertown, MD 21620-1124
Phone
(410) 479-5772
Fax
(410) 479-8397
NPI assigned
Jul 12, 2023
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

Specialties & licenses

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

Addresses

Primary practice location

601 High St
Chestertown, MD 21620-1124

Mailing address

601 High St
Chestertown, MD 21620-1124
Phone (410) 479-5772

Other names

  • Choptank Mobile Van #3 Dental Doing business as

Other providers in Chestertown, MD

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

Sources for this page

Verify at the official NPI Registry.