| North Caroline High School Sbhc | |
|
10990 River Rd Ridgely MD 21660-1815 | |
| (410) 479-4653 | |
| (833) 914-0406 |
| Full Name | North Caroline High School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10990 River Rd, Ridgely, 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 |
|---|---|
| North Caroline High School Sbhc 10990 River Rd Ridgely MD 21660-1815 Ph: (410) 479-4653 | North Caroline High School Sbhc 10990 River Rd Ridgely MD 21660-1815 Ph: (410) 479-4653 |
| NPI Number | 1508097684 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508097684 | NPI | - | NPPES |
| 784381008 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ridgely Elementary School Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Central Ave, Ridgely, MD 21660 Phone: 410-634-9153 Fax: 833-914-0409 | |
Choptank Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10990 River Rd, Ridgely, MD 21660 Phone: 410-479-4306 Fax: 410-479-1714 | |
Choptank Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Central Ave, Ridgely, MD 21660 Phone: 410-479-4306 Fax: 410-479-1714 |