Organization
CALVERTHEALTH MEDICAL GROUP, LLC
Active
Parent organization
CALVERT HEALTH SYSTEM, INC.
Other names
CalvertHealth Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC.
Authorized official
CAROLYN HEITHAUS (CFO/VP OF FINANCE)
(410) 535-8236
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD STE 310, PRINCE FREDERICK, MD 20678-4041
(410) 414-4740
(410) 414-4741
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8248
(410) 535-8417
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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