Choptank Community Health System Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Federalsburg, MD
NPI 1750101689 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1750101689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CHOPTANK COMMUNITY HEALTH SYSTEM INC
- Practice address
- 320 Hargraves Dr
Federalsburg, MD 21632 - Phone
- (410) 754-9021
- Fax
- (833) 916-1013
- NPI assigned
- Oct 15, 2024
- 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
National Provider Directory
- Tax ID family
- Choptank Community Health System Inc
- Part of
- Choptank Community Health System Inc
Locations
320 Hargraves Dr
Federalsburg, MD 21632
Phone (410) 754-9021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
320 Hargraves Dr
Federalsburg, MD 21632
Mailing address
320 Hargraves Dr
Federalsburg, MD 21632
Phone (410) 754-9021
Other names
- Federalsburg Dental Center
Other providers in Federalsburg, MD
- Andrea Chang
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System, Inc.
- Choptank Community Health System, Inc.
- Choptank Community Health System, Inc.
All providers in Federalsburg, MD · Federally Qualified Health Center (FQHC) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.