CHOPTANK COMMUNITY HEALTH SYSTEM, INC. (NPI# 1891926978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891926978 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| Other Organization Name | LOCKERMAN MIDDLE SCHOOL SBHC |
| Practice Address |
401 Lockerman St Denton MD 21629 |
| Mailing Address |
410 Lockerman St Denton MD 21629-1048 |
| Practice Telephone | 4104793075 |
| Practice Fax Number | 8339140407 |
| Mailing Telephone | 4104793075 |
| Mailing Fax Number | 8339140407 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | SARA RICH (CEO) |
| Authorized Official Telephone | 4104794306 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| 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 | 784381006 | 05 |
| Other Name | Type Code |
|---|---|
| Lockerman Middle School SBHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437456779 | Choptank Community Health System, Inc. | Clinic/Center | 303 Sharp Rd, Denton, MD 21629-1481 | 2011-02-23 |
| 1023329505 | Choptank Community Health System, Inc. | Clinic/Center | 201 Peachblossom Rd, Easton, MD 21601-2547 | 2010-06-29 |
| 1992936983 | Choptank Community Health System, Inc. | Clinic/Center | 25390 Richardson Rd, Federalsburg, MD 21632-2403 | 2009-08-07 |
| 1508097684 | Choptank Community Health System, Inc. | Clinic/Center | 10990 River Rd, Ridgely, MD 21660-1815 | 2009-08-06 |
| 1336370410 | Choptank Community Health System, Inc. | Clinic/Center | 118 N Central Ave, Ridgely, MD 21660-1345 | 2009-08-06 |
| 1801027982 | Choptank Community Health System, Inc. | Clinic/Center | 302 S University Ave, Federalsburg, MD 21632-1437 | 2009-08-06 |
| 1437388485 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph Street, Denton, MD 21629-0660 | 2009-07-13 |
| 1053778738 | Choptank Community Health System, Inc. | Clinic/Center | 225 Main St, Preston, MD 21655-2215 | 2016-01-26 |
| 1568847911 | Choptank Community Health System, Inc. | Clinic/Center | 301 Randolph St, Denton, MD 21629-1243 | 2015-07-28 |
| 1306157813 | Choptank Community Health System, Inc. | Clinic/Center | 307 Glenwood Ave, Easton, MD 21601-4104 | 2010-06-30 |
| Street Address |
401 LOCKERMAN ST |
| City | DENTON |
| State | MD |
| Zip Code | 21629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114135910 | Nancy Dorothy Bearss | Physician Assistant | 401 Lockerman St, Denton, MD 21629-1042 | 2007-05-18 |
| 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 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| 1336332493 | Diane Gaffney Deacon | Dentist | 505 Kerr Avenue, Denton, MD 21629 | 2007-08-22 |
| 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 |
| 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 |
| 1639425937 | Health Services of North Texas, Inc. | Clinic/Center | 4308 Mesa Dr, Denton, TX 76207 | 2012-07-24 |
| 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.