Choptank Community Health System INC
Clinic/Center, Federally Qualified Health Center (FQHC) in St Michaels, MD. Organization (NPI-2).
NPI number1336769082
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1336769082
- Entity type
- Organization (NPI-2)
- Legal business name
- Choptank Community Health System INC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2020
- Certification date
- Oct 30, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Bay Hundred Dental Center (Doing Business As)
Practice location
933 S Talbot St Ste 4St Michaels, MD 21663-2605
Phone 410-745-0200 · Fax 833-916-1010
Mailing address
933 S Talbot St Ste 4St Michaels, MD 21663-2605
Phone 410-745-0200 · Fax 833-916-1010
Authorized official
Sara Rich
Ceo
4104794306
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