| Queen Anne's County High School Sbhc | |
|
125 Ruthsburg Rd Centreville MD 21617-2095 | |
| (410) 482-9148 | |
| (410) 479-8397 |
| Full Name | Queen Anne's County High School Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 125 Ruthsburg Rd, Centreville, 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 |
|---|---|
| Queen Anne's County High School Sbhc 125 Ruthsburg Rd Centreville MD 21617-2095 Ph: (410) 482-9148 | Queen Anne's County High School Sbhc 125 Ruthsburg Rd Centreville MD 21617-2095 Ph: (410) 482-9148 |
| NPI Number | 1770342883 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770342883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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