Chester River Health Center
Clinic/Center in Chestertown, MD. Organization (NPI-2).
NPI number1114290293
StatusActive
Last updated in NPPESFeb 20, 2012
Details
- NPI
- 1114290293
- Entity type
- Organization (NPI-2)
- Legal business name
- Chester River Health Center
- Organization subpart
- No
- Enumeration date
- Feb 20, 2012
- Last updated
- Feb 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 14022 | MD | Yes |
Other names
- Chestertown Vascular Services (Doing Business As)
Practice location
100 Brown StChestertown, MD 21620-1435
Phone 410-822-1000 · Fax 410-822-4958
Mailing address
100 Brown StChestertown, MD 21620-1435
Phone 410-822-1000 · Fax 410-822-4958
Authorized official
Samuel L Harris
Director, Revenue Cycle Operations
4108221000
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