# CALVERTHEALTH MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALVERT HEALTH SYSTEM, INC
- **Other names:** CalvertHealth Imaging Services at CCNC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407283302
- **Legal business name:** CALVERT HEALTH SYSTEM, INC
- **Authorized official:** DEAN TEAGUE (PRESIDENT/CEO)
- **Authorized official phone:** (410) 535-8239

## Contact information

- **Practice address:** 85 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4018
- **Practice address phone:** (410) 535-8320
- **Practice address fax:** (410) 535-8109
- **Mailing address:** 100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
- **Mailing address phone:** (410) 414-4791
- **Mailing address fax:** (410) 414-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 04-001 | MD | Yes |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 01/25/2018