Organization
CALVERTHEALTH MEDICAL CENTER, INC.
Active
Parent organization
CALVERT HEALTH SYSTEM, INC
Other names
CalvertHealth Urgent Care Prince Frederick
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC
Authorized official
DEAN TEAGUE (PRESIDENT/CEO)
(410) 535-8239
Entity
Organization
Contact information
Practice address
130 HOSPITAL RD, SUITE 102, PRINCE FREDERICK, MD 20678-4015
(410) 535-8911
(410) 535-8912
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 414-4558
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
04-001
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422079000
—
MD
Enumeration date
11/15/2013
Last updated
01/24/2018
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