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Organization
TIDALHEALTH ATLANTIC, INC
Active
Organization
TIDALHEALTH ATLANTIC, INC
Active
Other names
Atlantic General Hospital Corp, Atlantic General Hospital Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ROBERT OWREY (PRESIDENT)
(410) 641-9601
Entity
Organization
Contact information
Practice address
9733 HEALTHWAY DR, BERLIN, MD 21811-1155
(410) 641-1100
(410) 641-9219
Mailing address
9733 HEALTHWAY DR, BERLIN, MD 21811-1155
(410) 641-1100
(410) 641-9219
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
23005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756175000
—
MD
Enumeration date
10/12/2005
Last updated
05/20/2026
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