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Choptank Community Health System Inc

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

NPI 1861162398 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1861162398
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Practice address
5745 Cloverdale Rd
Hurlock, MD 21643-3025
Phone
(410) 479-4306
Fax
(410) 479-1714
NPI assigned
Sep 16, 2021
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

Locations

5745 Cloverdale Rd
Hurlock, MD 21643
Phone (410) 943-3275

Specialties & licenses

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

Addresses

Primary practice location

5745 Cloverdale Rd
Hurlock, MD 21643-3025

Mailing address

5745 Cloverdale Rd
Hurlock, MD 21643-3025
Phone (410) 479-4306

Other names

  • North Dorchester Middle School SBDP Doing business as

Other providers in Hurlock, MD

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

Sources for this page

Verify at the official NPI Registry.