| Easton Middle School Sbhc | |
|
201 Peachblossom Rd Easton MD 21601-2547 | |
| (410) 820-8078 | |
| (833) 914-0415 |
| Full Name | Easton Middle School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 201 Peachblossom Rd, Easton, 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 |
|---|---|
| Easton Middle School Sbhc 201 Peach Blossom Ln Easton MD 21601-2544 Ph: (410) 763-9635 | Easton Middle School Sbhc 201 Peachblossom Rd Easton MD 21601-2547 Ph: (410) 820-8078 |
| NPI Number | 1023329505 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023329505 | NPI | - | NPPES |
| 784381000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
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