Calverthealth Medical Center, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

04-001 Issued in MD

Legal business name

CALVERTHEALTH MEDICAL CENTER, INC.

Doing business as

CalvertHealth Non-Invasive Vascular Lab Services of CHVH

Practice address

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042

Phone

(410) 414-4539

Fax

(410) 414-4540

NPI assigned

Nov 2, 2007

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CALVERT HEALTH SYSTEM, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dean Teague

Title

President & C.E.O.

Phone

(410) 535-8239

Specialties & licenses 1

Addresses

Other names 1

• CalvertHealth Non-Invasive Vascular Lab Services of CHVH Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1659550994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-8259",
            "fax_number": "410-535-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29449 CHARLOTTE HALL RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223042",
            "telephone_number": "410-414-4539",
            "fax_number": "410-414-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERTHEALTH MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALVERT HEALTH SYSTEM, INC.",
        "enumeration_date": "2007-11-02",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "410-535-8239"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MD",
            "license": "04-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CalvertHealth Non-Invasive Vascular Lab Services of CHVH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Board of Child Care of the United Methodist Church Inc
• Board of Child Care of the United Methodist Church, Inc.
• Marcel W Brooks, O.D.
• Kelly McGill Buchanan, MS, CCC-SLP
• Kristi Burns, LCPC, LCADC
• Cam Rehabilitation Services, LLC (CAM Physical Therapy and Wellness Services)
• Capital Foot & Ankle Care Centre, PA (Charlotte Hall Foot & Ankle)
• Autumn N Castro, FNP
• Charles C Reel, M.D.
• Charles C Reel, M.D.

• Mobile Radiology Clinic/Center in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Mobile Radiology Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.