Organization
CHASE BREXTON HEALTH SERVICES, INC.
Active
Other names
Chase Brexton Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE EASTON (REVENUE CYCLE DIRECTOR)
(667) 260-7924
Entity
Organization
Contact information
Practice address
6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244-2412
(410) 837-2050
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)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190102
—
MD
Enumeration date
07/01/2006
Last updated
02/22/2024
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