Organization
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA RICH (CEO)
(410) 479-4306
Entity
Organization
Contact information
Practice address
301 RANDOLPH ST, DENTON, MD 21629-1243
(410) 479-4306
(410) 479-1714
Mailing address
301 RANDOLPH ST, DENTON, MD 21629-1243
(410) 479-4306
(410) 479-1714
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784381000
—
MD
01
—
CG0227
MEDICARE RAILROAD
—
Enumeration date
05/31/2006
Last updated
09/19/2023
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