Organization
CHASE BREXTON HEALTH SERVICES, INC.
Active
Other names
Chase Brexton Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE EASTON (REVENUE CYCLE DIRECTOR)
(667) 260-7924
Entity
Organization
Contact information
Practice address
1111 NORTH CHARLES STREET, BALTIMORE, MD 21201
(410) 837-2050
(410) 752-1374
Mailing address
1111 NORTH CHARLES STREET, BALTIMORE, MD 21201
(410) 837-2050
(410) 752-1374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MD
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097004200
—
MD
05
—
132190100
—
MD
Enumeration date
03/19/2007
Last updated
02/03/2025
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