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Organization

CHASE BREXTON HEALTH SERVICES INC

Active
Other names
Chase Brexton Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE EASTON (REVENUE CYCLE DIRECTOR)
(410) 837-2050
Entity
Organization

Contact information

Practice address
200 HOSPITAL DRIVE, 3RD FL, GLEN BURNIE, MD 21061-5877
(410) 837-2050
(410) 761-3160
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(410) 752-1374

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
207RI0200X
Infectious Disease Physician
207V00000X
Obstetrics & Gynecology Physician
2084P0800X
Psychiatry Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132190106
MD
Enumeration date
07/10/2014
Last updated
02/17/2025
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