CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY (NPI# 1003107095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003107095 |
Entity Type | Organization |
Organization Name | CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY |
Other Organization Name | CMH LABORATORY SERVICES |
Practice Address |
100 Hospital Rd Prince Frederick MD 20678-4017 |
Practice Telephone | 4105358330 |
Practice Fax Number | 4105358127 |
Mailing Telephone | 4105358330 |
Mailing Fax Number | 4105358127 |
Enumeration Date | 2011-04-25 |
Last Update Date | 2011-04-25 |
Authorized Official Name | MR. JAMES J XINIS (PRESIDENT/CEO) |
Authorized Official Telephone | 4105358239 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 020 | MD | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CLIA | 21D0209668 | 01 |
Other Name | Type Code |
---|---|
CMH Laboratory Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154655884 | Calvert Memorial Hospital of Calvert County | Dentist | 11840 Hg Trueman Rd, Lusby, MD 20657-2999 | 2009-09-29 |
1922332659 | Calvert Memorial Hospital of Calvert County | Dentist | 2553 N Solomons Island Rd, Huntingtown, MD 20639 | 2009-09-29 |
1427224930 | Calvert Memorial Hospital of Calvert County | Obstetrics & Gynecology | 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4015 | 2008-05-05 |
1598794091 | Calvert Memorial Hospital of Calvert County | Skilled Nursing Facility | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-30 |
Street Address |
100 HOSPITAL RD |
City | PRINCE FREDERICK |
State | MD |
Zip Code | 20678-4017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275162489 | Paul Ejime Iweriebor | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2020-04-08 |
1235765629 | Elias Ngang Warah | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2020-03-17 |
1780221663 | Elizabeth Anne Wall | Physical Therapist | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2019-12-10 |
1790248649 | Nastassia Morgan Hawkins | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Department of Anesthesia, Prince Frederick, MD 20678-4017 | 2019-04-08 |
1902384258 | Upeksha Sewwandi Thilakawardana | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2018-07-30 |
1003311002 | Luis Antonio Velazquez | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2018-03-29 |
1598276826 | Stephanie Steinhoff | Hospitalist | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2017-10-13 |
1689190514 | Catina Stefanik | Social Worker | 100 Hospital Rd, Prince Frederick, MD 20678 | 2017-08-22 |
1740730274 | Calvert Pathology LLC | Pathology | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2016-10-07 |
1881040764 | Natasha Bates | Registered Nurse | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2016-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
Find all providers in zip 20678 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154701464 | Laboratory Corporation of America | Clinical Medical Laboratory | 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 | 2015-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619574431 | Hope Health Systems Inc | Clinical Medical Laboratory | 1726 Whitehead Rd Ofc, Gwynn Oak, MD 21207-4003 | 2020-10-05 |
1396356846 | Qualvita Diagnostics | Clinical Medical Laboratory | 9101 Cherry Ln Ste 213, Laurel, MD 20708-1151 | 2020-08-10 |
1467070672 | Diverse Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 214, Owings Mills, MD 21117-3902 | 2020-07-14 |
1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
1093336349 | Personalized Medicine Care Diagnostics LLC | Clinical Medical Laboratory | 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 | 2020-04-28 |
1164058525 | Parj Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 | 2020-03-18 |
1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
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City | PRINCE FREDERICK |
Zip Code | 20678 |
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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.