NPIMap

Organization Active NPI

Choptank Community Health System, Inc.

Doing business as Colonel Richardson Middle School SBHC

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
National Provider Identifier
1992936983
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
Colonel Richardson Middle School SBHC
Practice address
25390 Richardson Rd
Federalsburg, MD 21632-2403
Phone
(410) 754-9580
Fax
(833) 914-0412
NPI assigned
Aug 7, 2009
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 NU Primary

Addresses

Primary practice location

25390 Richardson Rd
Federalsburg, MD 21632-2403

Mailing address

25390 Richardson Rd
Federalsburg, MD 21632-2403
Phone (410) 754-9580

Other identifiers 1

IdentifierTypeStateIssuer
784381004MedicaidMD

Other names 1

  • Colonel Richardson Middle School SBHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caroline Health Service103 organizations share this tax ID, including this one
Part of
Caroline Health Service

Organizations with this tax ID in the same state 12

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1992936983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25390 RICHARDSON RD",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216322403",
            "telephone_number": "410-754-9580",
            "fax_number": "833-914-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25390 RICHARDSON RD",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216322403",
            "telephone_number": "410-754-9580",
            "fax_number": "833-914-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOPTANK COMMUNITY HEALTH SYSTEM, INC.",
        "enumeration_date": "2009-08-07",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784381004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonel Richardson Middle School SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonel Richardson Middle School SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federalsburg, 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.