Organization
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Active
Parent organization
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Other names
St. Michael's Middle/High School SBHC
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
200 SEYMOUR AVE, ST. MICHAEL'S, MD 21663-2932
(410) 745-2882
(410) 479-1714
Mailing address
200 SEYMOUR AVE, ST MICHAELS, MD 21663-2932
(410) 745-2882
(410) 479-1714
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784381000
—
MD
Enumeration date
06/29/2010
Last updated
10/30/2020
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