CHOPTANK COMMUNITY HEALTH SYSTEM INC (NPI# 1356388599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356388599 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM INC |
| Practice Address |
301 Randolph St Denton MD 21629-1243 |
| Mailing Address |
301 Randolph St Po Box 660 Denton MD 21629-1243 |
| Practice Telephone | 4104794306 |
| Practice Fax Number | 4104791714 |
| Mailing Telephone | 4104794306 |
| Mailing Fax Number | 4104791714 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | SARA RICH (CEO) |
| Authorized Official Telephone | 4104794306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 784381000 | 05 | |
| MEDICARE RAILROAD | CG0227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| 1679790299 | Choptank Community Health System Inc | Clinic/Center | 933 S Talbot St, Unit 4, St Michaels, MD 21663-2633 | 2007-04-18 |
| 1336769082 | Choptank Community Health System Inc | Clinic/Center | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2020-04-23 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1013464668 | Choptank Community Health System Inc | Clinic/Center | 522 Cynwood Dr Ste 100, Easton, MD 21601-3877 | 2016-09-01 |
| 1871719898 | Choptank Community Health System Inc | Clinic/Center | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2007-04-18 |
| Street Address |
301 RANDOLPH ST |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531077 | Sue Ellen Hagie | Nurse Practitioner | 301 Randolph St, Denton, MD 21629-1243 | 2006-01-04 |
| 1568847911 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph St, Denton, MD 21629-1243 | 2015-07-28 |
| 1043568033 | Rodshekia Denise Newton | Dental Hygienist | 301 Randolph St, Denton, MD 21629-1243 | 2012-08-22 |
| 1164647798 | Lorraine Hall-pfaff | Dental Hygienist | 301 Randolph St, Denton, MD 21629 | 2007-04-17 |
| 1063533487 | Trudy J Dean | Dental Hygienist | 301 Randolph St, Denton, MD 21629-1243 | 2007-04-03 |
| 1538298070 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph St, Denton, MD 21629-1243 | 2007-03-02 |
| 1881736163 | Jean Theresa Holtz | Dental Hygienist | 301 Randolph St, Denton, MD 21629-1243 | 2007-02-13 |
| 1326055534 | Susan Marie Clark | Nurse Practitioner | 301 Randolph St, Denton, MD 21629-1243 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916799 | Health Services of North Texas, Inc | Clinic/Center | 306 N Loop 288 Ste 201, Denton, TX 76209-4887 | 2018-03-19 |
| 1124538442 | Health Services of North Texas, Inc | Clinic/Center | 4304 Mesa Drive, Denton, TX 76207 | 2017-10-02 |
| 1255724779 | Health Services of North Texas, Inc. | Clinic/Center | 821 N Elm St, Denton, TX 76201-2934 | 2015-03-09 |
| 1437456779 | Choptank Community Health System, Inc. | Clinic/Center | 303 Sharp Rd, Denton, MD 21629-1481 | 2011-02-23 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1437388485 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph Street, Denton, MD 21629-0660 | 2009-07-13 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1568847911 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph St, Denton, MD 21629-1243 | 2015-07-28 |
| 1528478120 | Health Services of North Texas, Inc | Clinic/Center | 3537 S I-35 E, Suite 210, Denton, TX 76210 | 2014-05-05 |
| Find all providers in DENTON | ||||
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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.