| Choptank Community Health System Inc | |
|
21374 Foster Ave Tilghman MD 21671-1230 | |
| (410) 886-2222 | |
| (833) 908-2288 |
| Full Name | Choptank Community Health System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21374 Foster Ave, Tilghman, Maryland |
| Authorized Official Name and Position | Sara Rich (CEO) |
| Authorized Official Contact | 4104794306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choptank Community Health System Inc 21374 Foster Ave Tilghman MD 21671-1230 Ph: (108) 862-2224 | Choptank Community Health System Inc 21374 Foster Ave Tilghman MD 21671-1230 Ph: (410) 886-2222 |
| NPI Number | 1669985032 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 0648189274 |
|---|---|
| Medicare Enrollment ID | O20171201000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669985032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Choptank Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21374 Foster Ave, Tilghman, MD 21671 Phone: 410-479-4306 Fax: 410-479-1714 |