Chesapeake Health Care | |
30577 Camp Road Westover MD 21871 | |
(410) 749-1015 | |
(410) 749-1020 |
Full Name | Chesapeake Health Care |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 30577 Camp Road, Westover, 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 |
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Chesapeake Health Care Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | Chesapeake Health Care 30577 Camp Road Westover MD 21871 Ph: (410) 749-1015 |
NPI Number | 1790148807 |
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Provider Enumeration Date | 04/05/2016 |
Last Update Date | 09/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790148807 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |