Tidalhealth Peninsula Regional, INC.
Clinic/Center, Health Services in Salisbury, MD. Organization (NPI-2).
NPI number1982171005
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1982171005
- Entity type
- Organization (NPI-2)
- Legal business name
- Tidalhealth Peninsula Regional, INC.
- Organization subpart
- No
- Enumeration date
- Oct 26, 2018
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 282N00000X | General Acute Care Hospital | – | – |
Practice location
106 Milford St Ste 404Salisbury, MD 21804-6967
Phone 410-543-7294
Mailing address
100 E Carroll StSalisbury, MD 21801-5422
Phone 410-543-7437 · Fax 410-543-7020
Other practice locations
1336 Belmont Ave Ste 501a
Salisbury, MD 21804-4500
Salisbury, MD 21804-4500
Phone 410-543-7475 · Fax 410-543-7478
Authorized official
Mickey Griffin
Director Of Patient Financial Serv
4105437437
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