| Colonel Richardson High School Sbhc | |
|
25320 Richardson Rd Federalsburg MD 21632-2403 | |
| (410) 754-0750 | |
| (833) 914-0411 |
| Full Name | Colonel Richardson High School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 25320 Richardson Rd, Federalsburg, 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 |
|---|---|
| Colonel Richardson High School Sbhc 25320 Richardson Rd Federalsburg MD 21632-2403 Ph: (410) 754-0750 | Colonel Richardson High School Sbhc 25320 Richardson Rd Federalsburg MD 21632-2403 Ph: (410) 754-0750 |
| NPI Number | 1801027891 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801027891 | NPI | - | NPPES |
| 784381012 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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