Organization · NPI-2

Chase Brexton Health Services INC

Clinic/Center, Federally Qualified Health Center (FQHC) · Glen Burnie, MD

NPI number1497161483

StatusActive

Last updated in NPPESFeb 17, 2025

Details

NPI: 1497161483
Entity type: Organization (NPI-2)
Legal business name: Chase Brexton Health Services INC
Organization subpart: No
Enumeration date: Jul 10, 2014
Certification date: Feb 17, 2025
Last updated: Feb 17, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QF0400X	Clinic/Center, Federally Qualified Health Center (FQHC)	–	–	Yes
101YP2500X	Counselor, Professional	–	–
103TC0700X	Psychologist, Clinical	–	–
1041C0700X	Social Worker, Clinical	–	–
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
207RA0401X	Internal Medicine, Addiction Medicine	–	–
207RI0200X	Internal Medicine, Infectious Disease	–	–
207V00000X	Obstetrics & Gynecology	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–
363LP0200X	Nurse Practitioner, Pediatrics	–	–
367A00000X	Advanced Practice Midwife	–	–

Other names

Chase Brexton Health Care (Doing Business As)

Practice location

200 Hospital Drive
3rd Fl
Glen Burnie, MD 21061-5877

Phone 410-837-2050 · Fax 410-761-3160

Mailing address

1111 N Charles St
Baltimore, MD 21201-5505

Phone 410-837-2050 · Fax 410-752-1374

Authorized official

Kyle Easton
Revenue Cycle Director
4108372050

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