| Tidalhealth Peninsula Regional, Inc. | |
|
Mccready Health Pavilion 201 Hall Hwy Crisfield MD 21817-1237 | |
| (410) 543-7733 | |
| Not Available |
| Full Name | Tidalhealth Peninsula Regional, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | Mccready Health Pavilion, Crisfield, Maryland |
| Authorized Official Name and Position | Bruce Ritchie (CFO FINANCE VICE PRESIDENT) |
| Authorized Official Contact | 4105437298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Peninsula Regional, Inc. 100 E Carroll St Salisbury MD 21801-5422 Ph: (410) 546-6400 | Tidalhealth Peninsula Regional, Inc. Mccready Health Pavilion 201 Hall Hwy Crisfield MD 21817-1237 Ph: (410) 543-7733 |
| NPI Number | 1124604442 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124604442 | NPI | - | NPPES |
| 000325501 | Medicaid | MD |
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