CHOPTANK COMMUNITY HEALTH SYSTEM INC NPI 1356388599

NPI Information

NPI: 1356388599
Provider Name: CHOPTANK COMMUNITY HEALTH SYSTEM INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
301 RANDOLPH ST
DENTON, MD
ZIP 21629
Phone: (410) 479-4306
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CHOPTANK COMMUNITY HEALTH SYSTEM INC is a federally qualified health center (fqhc) clinic center in Denton, MD. CHOPTANK COMMUNITY HEALTH SYSTEM INC NPI is 1356388599. The provider is registered as an organization entity type.

The provider's business location address is:

301 RANDOLPH ST
DENTON, MD
ZIP 21629-243
Phone: (410) 479-4306
Fax: (410) 479-1714

The provider's authorized official is Sara Rich .
The authorized official title is Ceo and has the following contact phone number (410) 479-4306.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 9/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	784381000	MEDICAID	MARYLAND
2	CG0227	OTHER		MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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