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CHASE BREXTON HEALTH SERVICES INC. NPI 1396993226


NPI Information

NPI: 1396993226
Provider Name: CHASE BREXTON HEALTH SERVICES, INC.

Doing Business As: CHASE BREXTON HEALTH CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 21D2052485

Address:
5500 KNOLL NORTH DR
STE 370
COLUMBIA, MD
ZIP 21045
Phone: (410) 884-7831
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CHASE BREXTON HEALTH SERVICES, INC. is a dental clinic center in Columbia, MD. CHASE BREXTON HEALTH SERVICES, INC. NPI is 1396993226. The provider is registered as an organization entity type.
The provider Is Doing Business As Chase Brexton Health Care.

The provider's business location address is:

5500 KNOLL NORTH DR
STE 370
COLUMBIA, MD
ZIP 21045-370
Phone: (410) 884-7831
Fax: (410) 715-3734

The provider's authorized official is Kyle Easton .
The authorized official title is Revenue Cycle Director and has the following contact phone number (410) 837-2050.

The CLIA number assigned to this NPI record is 21D2052485 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/4/2008 and was last updated on 2/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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: 4/28/2024

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