| Choptank Community Health System, Inc. | |
|
100 Seymour Ave St. Michael's MD 21663-2930 | |
| (410) 745-2882 | |
| (410) 479-1714 |
| Full Name | Choptank Community Health System, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Seymour Ave, St. Michael's, Maryland |
| Authorized Official Name and Position | Sara Rich (CEO) |
| Authorized Official Contact | 4104794306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choptank Community Health System, Inc. 100 Seymour Ave St Michaels MD 21663-2930 Ph: (410) 745-2882 | Choptank Community Health System, Inc. 100 Seymour Ave St. Michael's MD 21663-2930 Ph: (410) 745-2882 |
| NPI Number | 1689985194 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689985194 | NPI | - | NPPES |
| 784381000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |