Active NPI
Core Clinical Care
- Clinic/Center
- Salisbury, MD
National Provider Identifier
1780072017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CORE CLINICAL CARE
- Practice address
- 404C N. Fruitland Blvd.
Salisbury, MD 21801 - Phone
- (410) 749-8401
- Fax
- (410) 860-1155
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Sherr, RPH
- Title
- President
- Phone
- (410) 749-8401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
404C N. Fruitland Blvd.
Salisbury, MD 21801
Mailing address
404C N Fruitland Blvd
Salisbury, MD 21801
Phone (410) 749-8401
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2096742 | Core Clinical Care, LLC | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
404 N Fruitland Blvd
#C
Salisbury, MD 21801
Phone (410) 749-8401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420761600000",
"number": "1780072017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404C N FRUITLAND BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-749-8401",
"fax_number": "410-860-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404C N. FRUITLAND BLVD.",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-749-8401",
"fax_number": "410-860-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE CLINICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2015-01-09",
"status": "A",
"authorized_official_last_name": "SHERR",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-749-8401",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.