Organization
CHASE BREXTON HEALTH SERVICES, INC.
Active
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
9030 STATE ROUTE 108 STE A, COLUMBIA, MD 21045-1990
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(410) 752-1374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
Enumeration date
01/24/2013
Last updated
03/05/2025
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