Organization · Type 2 NPI

Choptank Community Health System Inc

Federally Qualified Health Center (FQHC) · Centreville, MD

NPI number 1770342883 Active

Practice location

125 Ruthsburg Rd
Centreville, MD 21617-2095

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...

2 other providers at this address

Choptank Community Health System IncFederally Qualified Health Center (FQHC) Centreville, MD NPI 1447143334
Rebecca PerrySchool Psychologist Centreville, MD NPI 1073335576

Other federally qualified health center (fqhc) providers in Centreville

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NPI record

NPI: 1770342883
Entity type: Organization (Type 2)
Issued: Mar 19, 2024
Last updated: Mar 19, 2024
Status: Active
Subpart: Yes of Choptank Community Health System Inc

Other names

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Queen Anne's County High School SBHC · doing business as

Authorized official

Sara Rich
CEO
(410) 479-4306

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770342883

Choptank Community Health System Inc's National Provider Identifier is 1770342883, issued on Mar 19, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Centreville, MD. The record was last updated on Mar 19, 2024.