Organization
CHESTER RIVER HEALTH LAB - CENTREVILLE
Active
Organization
CHESTER RIVER HEALTH LAB - CENTREVILLE
Active
Parent organization
CHESTER RIVER HOSPITAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTER RIVER HOSPITAL CENTER
Authorized official
MRS. CARDELLA TRYTHALL FORRESTER CPAM, CHAM (DIRECTOR, PATIENT FINANCIAL SERVICE)
(410) 810-5192
Entity
Organization
Contact information
Practice address
100 BROWN ST, CHESTERTOWN, MD 21620-1435
(410) 778-3300
Mailing address
202 COURSEVALL DR, SUITE 107, CENTREVILLE, MD 21617-2804
(410) 778-3300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D022037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000265800
—
MD
Enumeration date
02/28/2011
Last updated
02/28/2011
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