Organization · Type 2 NPI

Choptank Community Health System Inc

Federally Qualified Health Center (FQHC) · Grasonville, MD

NPI number 1326763376 Active

Practice location

5441 Main St
Grasonville, MD 21638-1134

Fax (410) 479-8397

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1326763376
Entity type: Organization (Type 2)
Issued: Oct 11, 2022
Last updated: Sep 12, 2023
Status: Active
Subpart: Yes of Choptank Community Health System Inc

Other names

<unavail>
Grasonville Head Start Dental Services · doing business as

Authorized official

Sara Rich
CEO
(410) 479-4306

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About NPI 1326763376

Choptank Community Health System Inc's National Provider Identifier is 1326763376, issued on Oct 11, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grasonville, MD. The record was last updated on Sep 12, 2023.