| Chesapeake Health Care | |
|
12145 Elm Street Princess Anne MD 21853 | |
| (410) 651-2204 | |
| (410) 651-0790 |
| Full Name | Chesapeake Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12145 Elm Street, Princess Anne, Maryland |
| Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) |
| Authorized Official Contact | 4107491015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Health Care Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | Chesapeake Health Care 12145 Elm Street Princess Anne MD 21853 Ph: (410) 651-2204 |
| NPI Number | 1033242284 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033242284 | NPI | - | NPPES |
| 140897600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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