# PENINSULA REGIONAL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsual Regional Outpatient Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124005053
- **Authorized official:** DONALD DURHAM (SENIOR VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (410) 543-7440

## Contact information

- **Practice address:** 100 E CARROLL ST, PATIENT ACCOUNTS, SALISBURY, MD 21801-5422
- **Practice address phone:** (410) 543-6400
- **Mailing address:** 100 E CARROLL ST, PATIENT ACCOUNTS, SALISBURY, MD 21801-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2005
- **Last updated:** 08/22/2020