Ridgely Elementary School Sbhc | |
118 N Central Ave Ridgely MD 21660-1345 | |
(410) 634-9153 | |
(833) 914-0409 |
Full Name | Ridgely Elementary School Sbhc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 118 N Central Ave, 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 |
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Ridgely Elementary School Sbhc 118 N Central Ave Ridgely MD 21660-1345 Ph: (106) 349-1534 | Ridgely Elementary School Sbhc 118 N Central Ave Ridgely MD 21660-1345 Ph: (410) 634-9153 |
NPI Number | 1336370410 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 10/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336370410 | NPI | - | NPPES |
784381013 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
North Caroline High School Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10990 River Rd, Ridgely, MD 21660 Phone: 410-479-4653 Fax: 833-914-0406 | |
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 |