CHOPTANK COMMUNITY HEALTH SYSTEM, INC. (NPI# 1992936983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992936983 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| Other Organization Name | COLONEL RICHARDSON MIDDLE SCHOOL SBHC |
| Practice Address |
25390 Richardson Rd Federalsburg MD 21632-2403 |
| Practice Telephone | 4107549580 |
| Practice Fax Number | 8339140412 |
| Mailing Telephone | 4107549580 |
| Mailing Fax Number | 8339140412 |
| Enumeration Date | 2009-08-07 |
| 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 | 784381004 | 05 |
| Other Name | Type Code |
|---|---|
| Colonel Richardson 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 |
| 1508097684 | Choptank Community Health System, Inc. | Clinic/Center | 10990 River Rd, Ridgely, MD 21660-1815 | 2009-08-06 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 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 |
25390 RICHARDSON RD |
| City | FEDERALSBURG |
| State | MD |
| Zip Code | 21632-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639471063 | Summer Bleyer Trader | Social Worker | 25390 Richardson Rd, Federalsburg, MD 21632-2403 | 2010-11-17 |
| 1063724268 | Lindsay Young | Nurse Practitioner | 25390 Richardson Rd, Federalsburg, MD 21632-2403 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427270529 | John William Hawkins | Dentist | 319 North Main St, Federalsburg, MD 21632 | 2007-05-02 |
| 1699897884 | Lisa May | Social Worker | 27203 Chipmans Ln, Federalsburg, MD 21632 | 2007-04-06 |
| 1306157508 | Jennifer Beare Ketterman | Nurse Practitioner | 3304 Hayman Dr, Federalsburg, MD 21632 | 2010-06-23 |
| 1083750939 | Bonnie L Dove | Dental Hygienist | 215 Bloomingdale Ave, Federalsburg, MD 21632 | 2007-01-29 |
| 1780659730 | Maria Cristina Alarcon | Dentist | 215 Bloomingdale Ave, Federalsburg, MD 21632 | 2006-02-22 |
| 1881701993 | John P Sloan | Dentist | 112 Morris Ave, Federalsburg, MD 21632-1001 | 2006-08-24 |
| 1437683430 | Corsica River Mental Health Service, Inc. | Clinic/Center | 332 N Main St, Federalsburg, MD 21632-1007 | 2017-04-17 |
| 1639603012 | Corsica River Mental Health Service, Inc. | Clinic/Center | 332 N Main St, Federalsburg, MD 21632-1007 | 2017-04-12 |
| 1760937197 | Caroline Counseling Center | Community/Behavioral Health | 332 N Main St, Federalsburg, MD 21632-1007 | 2016-08-15 |
| 1831574540 | Caroline County Mental Health | Community/Behavioral Health | 332 N Main St, Federalsburg, MD 21632-1007 | 2015-07-23 |
| Find all providers in zip 21632 | ||||
| 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 |
|---|---|---|---|---|
| 1801027982 | Choptank Community Health System, Inc. | Clinic/Center | 302 S University Ave, Federalsburg, MD 21632-1437 | 2009-08-06 |
| 1801027891 | Choptank Community Health System, Inc. | Clinic/Center | 25320 Richardson Rd, Federalsburg, MD 21632-2403 | 2009-08-07 |
| 1043430879 | Choptank Community Health System, Inc. | Clinic/Center | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2007-04-26 |
| 1184840183 | Choptank Community Health System, Inc. | Clinic/Center | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 | 2007-04-18 |
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| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
| City | FEDERALSBURG |
| Zip Code | 21632 |
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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.