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
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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