| Chesapeake Health Care | |
|
1647 Woodbrooke Drive Salisbury MD 21804 | |
| (410) 341-7330 | |
| (410) 742-6633 |
| Full Name | Chesapeake Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1647 Woodbrooke Drive, Salisbury, Maryland |
| Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) |
| Authorized Official Contact | 4107491015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Health Care Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | Chesapeake Health Care 1647 Woodbrooke Drive Salisbury MD 21804 Ph: (410) 341-7330 |
| NPI Number | 1558892992 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 3678484300 |
|---|---|
| Medicare Enrollment ID | O20170515001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558892992 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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