Choptank Community Health System Inc | |
4905 Ocean Gateway Vienna MD 21869-1571 | |
(410) 479-4306 | |
(410) 479-1714 |
Full Name | Choptank Community Health System Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4905 Ocean Gateway, Vienna, Maryland |
Authorized Official Name and Position | Sara Rich (CEO) |
Authorized Official Contact | 4104794306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Choptank Community Health System Inc 4905 Ocean Gateway Vienna MD 21869-1571 Ph: (410) 479-4306 | Choptank Community Health System Inc 4905 Ocean Gateway Vienna MD 21869-1571 Ph: (410) 479-4306 |
NPI Number | 1942978333 |
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Provider Enumeration Date | 09/01/2021 |
Last Update Date | 09/01/2021 |
Identifier | Type | State | Issuer |
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1942978333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |