| Chase Brexton Health Services, Inc. | |
|
5500 Knoll North Dr Ste 370 Columbia MD 21045-2370 | |
| (410) 884-7831 | |
| (410) 715-3734 |
| Full Name | Chase Brexton Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5500 Knoll North Dr, Columbia, Maryland |
| Authorized Official Name and Position | Kyle Easton (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 4108372050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Brexton Health Services, Inc. 1111 North Charles Street Baltimore MD 21201 Ph: (410) 837-2050 | Chase Brexton Health Services, Inc. 5500 Knoll North Dr Ste 370 Columbia MD 21045-2370 Ph: (410) 884-7831 |
| NPI Number | 1396993226 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396993226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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