Organization
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Active
Other names
Choptank Community Health System Dental
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
—
822105700
—
MD
Enumeration date
03/02/2007
Last updated
09/19/2023
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