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Organization
CALVERTHEALTH MEDICAL CENTER, INC.
Active
Organization
CALVERTHEALTH MEDICAL CENTER, INC.
Active
Parent organization
CALVERT HEALTH SYSTEM, INC
Other names
CalvertHealth Imaging Services at CCNC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC
Authorized official
DEAN TEAGUE (PRESIDENT/CEO)
(410) 535-8239
Entity
Organization
Contact information
Practice address
85 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4018
(410) 535-8320
(410) 535-8109
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 414-4558
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
04-001
MD
Other
Enumeration date
10/09/2013
Last updated
01/25/2018
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