CHOPTANK COMMUNITY HEALTH SYSTEM, INC. (NPI# 1508097684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508097684 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| Other Organization Name | NORTH CAROLINE HIGH SCHOOL SBHC |
| Practice Address |
10990 River Rd Ridgely MD 21660-1815 |
| Practice Telephone | 4104794653 |
| Practice Fax Number | 8339140406 |
| Mailing Telephone | 4104794653 |
| Mailing Fax Number | 8339140406 |
| Enumeration Date | 2009-08-06 |
| 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 | 784381008 | 05 |
| Other Name | Type Code |
|---|---|
| North Caroline High 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 |
| 1992936983 | Choptank Community Health System, Inc. | Clinic/Center | 25390 Richardson Rd, Federalsburg, MD 21632-2403 | 2009-08-07 |
| 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 |
10990 RIVER RD |
| City | RIDGELY |
| State | MD |
| Zip Code | 21660-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134154636 | Denton Pharmacy LLC | Pharmacy | 7 West Belle St, Ridgely, MD 21660 | 2006-07-12 |
| 1104118322 | Crystal Jean Weesner | Registered Nurse | 22731 Stevenson Rd, Ridgely, MD 21660-1311 | 2011-05-05 |
| 1336370410 | Choptank Community Health System, Inc. | Clinic/Center | 118 N Central Ave, Ridgely, MD 21660-1345 | 2009-08-06 |
| 1003385626 | Lori J Royer | Speech-Language Pathologist | 118 N Central Ave, Ridgely, MD 21660-1345 | 2018-11-14 |
| 1467596338 | Benedictine School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2007-02-16 |
| 1689146342 | Chalmers Frazer | Social Worker | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2018-12-19 |
| 1851868749 | Rachel Jones | Speech-Language Pathologist | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2018-10-29 |
| 1720555923 | Theresa Anne Rainey | Occupational Therapist | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2018-10-26 |
| 1912318734 | Amanda Marie Leal | Social Worker | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2014-05-14 |
| 1609105105 | Lisa M Baxter | Speech-Language Pathologist | 14299 Benedictine Ln, Ridgely, MD 21660-1434 | 2009-12-11 |
| Find all providers in zip 21660 | ||||
| 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 |
|---|---|---|---|---|
| 1336370410 | Choptank Community Health System, Inc. | Clinic/Center | 118 N Central Ave, Ridgely, MD 21660-1345 | 2009-08-06 |
| 1851697817 | Citizens of Lake County for Health Care Inc | Clinic/Center | 130 N Main St, Ridgely, TN 38080-1317 | 2011-02-08 |
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|---|---|---|---|---|
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| 1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
| 1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
| 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 | ||||
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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.