Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LEONARD (PRESIDENT/C.E.O.)
(410) 546-6400
Entity
Organization
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
(410) 543-7020
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
(410) 543-7020
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22003
MD
291U00000X
Clinical Medical Laboratory
22003
MD
Other
Enumeration date
06/17/2005
Last updated
10/23/2020
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