NPIMap

Organization Active NPI

Chester River Hospital Center

  • Clinical Medical Laboratory
  • Easton, MD
National Provider Identifier
1992079990
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D0220377 Issued in MD
Legal business name
CHESTER RIVER HOSPITAL CENTER
Practice address
219 S Washington St
Easton, MD 21601-2913
Phone
(410) 822-1000
Fax
(410) 822-4958
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mr. Samuel L Harris
Title
Director, Revenue Cycle Operations
Phone
(410) 822-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D0220377 MD Primary

Addresses

Primary practice location

219 S Washington St
Easton, MD 21601-2913

Mailing address

100 Brown St
Chestertown, MD 21620-1435
Phone (410) 822-1000

Other names 1

  • Chester River Hospital Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Chester River Health Lab7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1992079990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-822-1000",
            "fax_number": "410-822-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000",
            "fax_number": "410-822-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "410-822-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0220377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester River Hospital Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.