Organization
CHASE BREXTON HEALTH SERVICES, INC.
Active
Other names
Chase Brexton Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE EASTON (REVENUE CYCLE DIRECTOR)
(410) 837-2050
Entity
Organization
Contact information
Practice address
500 CADMUS LN STE 203, EASTON, MD 21601-4094
(410) 837-2020
Mailing address
1111 NORTH CHARLES STREET, BALTIMORE, MD 21201
(410) 837-2050
(410) 752-1374
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
MD
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
Enumeration date
03/14/2007
Last updated
06/17/2020
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