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)
(410) 837-2050
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR, STE 370, COLUMBIA, MD 21045-2370
(410) 884-7831
(410) 715-3734
Mailing address
1111 NORTH CHARLES STREET, BALTIMORE, MD 21201
(410) 837-2050
(410) 752-1374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
09/04/2008
Last updated
02/24/2020
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