CHOPTANK COMMUNITY HEALTH SYSTEM INC (NPI# 1669985032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669985032 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM INC |
| Other Organization Name | TILGHMAN HEALTH CENTER |
| Practice Address |
21374 Foster Ave Tilghman MD 21671-1230 |
| Practice Telephone | 4108862222 |
| Practice Fax Number | 8339082288 |
| Mailing Telephone | 1088622224 |
| Mailing Fax Number | 3390822888 |
| Enumeration Date | 2017-11-08 |
| 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 |
| Other Name | Type Code |
|---|---|
| Tilghman Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356388599 | Choptank Community Health System Inc | Clinic/Center | 301 Randolph St, Denton, MD 21629-1243 | 2006-05-31 |
| Street Address |
21374 FOSTER AVE |
| City | TILGHMAN |
| State | MD |
| Zip Code | 21671-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863056 | Camille Woodbury | Psychiatry & Neurology | 5586 Leeward Ln, Tilghman, MD 21671-1154 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863056 | Camille Woodbury | Psychiatry & Neurology | 5586 Leeward Ln, Tilghman, MD 21671-1154 | 2007-03-27 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.