NPIMap

Organization Active NPI

Choptank Community Health System, Inc.

Doing business as St. Michael's Elementary School SBHC

  • Federally Qualified Health Center (FQHC)
  • St. Michael's, MD
National Provider Identifier
1689985194
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Doing business as
St. Michael's Elementary School SBHC
Practice address
100 Seymour Ave
St. Michael's, MD 21663-2930
Phone
(410) 745-2882
Fax
(410) 479-1714
NPI assigned
Jun 30, 2010
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Sara Rich
Title
Ceo
Phone
(410) 479-4306

Specialties & licenses 1

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

Addresses

Primary practice location

100 Seymour Ave
St. Michael's, MD 21663-2930

Mailing address

100 Seymour Ave
St Michaels, MD 21663-2930
Phone (410) 745-2882

Other identifiers 1

IdentifierTypeStateIssuer
784381000MedicaidMD

Other names 1

  • St. Michael's Elementary School SBHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choptank Community Heal103 organizations share this tax ID, including this one
Part of
Choptank Community Heal

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

100 Seymour Ave
St Michaels, MD 21663
Phone (410) 745-2882

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1689985194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SEYMOUR AVE",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632930",
            "telephone_number": "410-745-2882",
            "fax_number": "410-479-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEYMOUR AVE",
            "city": "ST. MICHAEL'S",
            "state": "MD",
            "postal_code": "216632930",
            "telephone_number": "410-745-2882",
            "fax_number": "410-479-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-479-4306"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784381000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Michael's Elementary School SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Michael's Elementary School SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Michael's, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.