SHORE HEALTH SYSTEM, INC (NPI# 1285694091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285694091 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM, INC |
| Other Organization Name | SHORE BEHAVIORAL HEALTH SERVICES |
| Practice Address |
300 Byrn St Cambridge MD 21613-1908 |
| Practice Telephone | 4102285511 |
| Practice Fax Number | 4102218123 |
| Mailing Telephone | 4102285511 |
| Mailing Fax Number | 4102218123 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH P ROSS (PRESIDENT/CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Shore Behavioral Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286401 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct Ste 100, Easton, MD 21601-4095 | 2017-10-19 |
| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1477513273 | Shore Health System, Inc | Clinical Medical Laboratory | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
| 1396366845 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-4095 | 2020-05-06 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1710283569 | Shore Health System, Inc | Clinic/Center | 509 Idlewild Ave, Easton, MD 21601-3889 | 2011-01-26 |
| 1790860237 | Shore Health System, Inc | Dietitian, Registered | 219 S Washington St, Easton, MD 21601-2913 | 2006-10-25 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1396705182 | Shore Health System, Inc | Skilled Nursing Facility | 219 S Washington St, Easton, MD 21601-2913 | 2006-03-24 |
| Street Address |
300 BYRN ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414205 | Christine Garey | Anesthesiology | 300 Byrn St, Cambridge, MD 21613-1908 | 2005-11-16 |
| 1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
| 1851905491 | Alexa L Burley | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-09-01 |
| 1548785017 | Leslie Fox | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2017-08-07 |
| 1821450768 | Jeff Biele | Counselor | 300 Byrn St, Cambridge, MD 21613-1908 | 2016-03-21 |
| 1225367642 | Michelle Mondal | Physician Assistant | 300 Byrn St, Cambridge, MD 21613-1908 | 2009-12-14 |
| 1336397942 | April Lyn Motovidlak | Clinical Nurse Specialist | 300 Byrn St, Cambridge, MD 21613-1908 | 2008-09-08 |
| 1326106121 | Stephen C Andrews | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-12-05 |
| 1144393844 | Elena Tilly | Internal Medicine | 300 Byrn St, Dorchester General Hospital, Cambridge, MD 21613-1908 | 2006-11-17 |
| 1164435830 | Frederick V Bauer | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215184486 | Corey Todd Levy | Psychiatric Unit | 1493 Cambridge Street, Cambridge, MA 02139 | 2008-08-19 |
| 1285803213 | Mt Auburn Hospital Dept of Psychiatry | Psychiatric Unit | 330 Mount Auburn St, Clark 1, Cambridge, MA 02138-5502 | 2008-02-25 |
| 1770789216 | Cambridge Health Alliance | Psychiatric Unit | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-06-22 |
| 1447348313 | Cambridge Public Health Commission | Psychiatric Unit | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-10-10 |
| 1649254491 | Mount Auburn Hospital | Psychiatric Unit | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436813 | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc | Psychiatric Unit | 4002 W Belvedere Ave Unit A, Baltimore, MD 21215-5502 | 2019-09-19 |
| 1558732776 | Anne Arundel Physician Group LLC | Psychiatric Unit | 175 Harry S Truman Pkwy, Annapolis, MD 21401-7573 | 2015-10-14 |
| 1306271929 | Sinai Hospital Addictions Recovery Program | Psychiatric Unit | 2440 Cylburn Avenue, Baltimore, MD 21215 | 2013-09-13 |
| 1861958662 | Unlimited Bounds Human Services LLC | Psychiatric Unit | 1 North Charles Street, 4th Floor, Baltimore, MD 21201 | 2019-02-16 |
| 1962985929 | Brook Lane Behavioral Services, Inc. | Psychiatric Unit | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-09-14 |
| 1831649466 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1316497944 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1417407040 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1427449172 | Alcohol and Drug Intervention | Psychiatric Unit | 7458 Baltimore Annapolis Blvd, 2nd Floor, Glen Burnie, MD 21061-3541 | 2015-02-16 |
| 1366790693 | Medstar Southern Maryland Hospital Center Inc | Psychiatric Unit | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.