CHOPTANK COMMUNITY HEALTH SYSTEM, INC. (NPI# 1053538678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053538678 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| Other Organization Name | GOLDSBORO MEDICAL CENTER |
| Practice Address |
316 Railroad Ave Goldsboro MD 21636-0122 |
| Mailing Address |
316 Railroad Ave Goldsboro MD 21636-1126 |
| Practice Telephone | 4106342380 |
| Practice Fax Number | 8339082287 |
| Mailing Telephone | 4106342380 |
| Mailing Fax Number | 8339082287 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | SARA RICH (CEO) |
| Authorized Official Telephone | 4104794306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Goldsboro Medical Center | 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 |
| 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 |
| Street Address |
316 RAILROAD AVE |
| City | GOLDSBORO |
| State | MD |
| Zip Code | 21636-0122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285208 | Patricia Jean Karnes-amzibel | Family Medicine | 316 Railroad Ave, Goldsboro, MD 21636 | 2006-02-21 |
| 1659908192 | Amanda Lynn Turner | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2020-03-25 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1346737251 | Anfal Ali | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-04-16 |
| 1770822348 | Peter Malcolm Stanford | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2013-02-02 |
| 1922356070 | Lindsay Michelle Freedman | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2012-08-21 |
| 1518264415 | Yiya Zhou | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2011-02-12 |
| 1881910701 | Mary Ellen Caldwell | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636 | 2010-04-16 |
| 1962647487 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2008-12-12 |
| 1568659969 | Raenelle Lynn Griffin | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2007-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295077105 | Senior Care of Goldsboro, Inc | Assisted Living Facility | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-03-19 |
| 1235578261 | Tammy Lynn Merson | Registered Nurse | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-06-24 |
| 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 |
|---|---|---|---|---|
| 1326443870 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr Ste C, Goldsboro, NC 27530-4516 | 2014-10-27 |
| 1194128991 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr # A, Goldsboro, NC 27530-4516 | 2014-10-07 |
| 1083739429 | Goshen Medical Center Incorporated | Clinic/Center | 200 W. Ash St., Ste#202, Goldsboro, NC 27530-3679 | 2007-03-21 |
| 1336691765 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2016-11-02 |
| 1477005148 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2016-10-28 |
| 1962647487 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2008-12-12 |
| 1255456794 | Goshen Medical Center Incorporated | Clinic/Center | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2007-03-21 |
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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 |
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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.