Organization
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Active
Parent organization
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Other names
Choptank Mobile Van #1 Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Authorized official
SARA RICH (CEO)
(410) 479-4306
Entity
Organization
Contact information
Practice address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-5772
(410) 479-8397
Mailing address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-5772
(410) 479-8397
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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