CALVERTHEALTH MEDICAL CENTER, INC. (NPI# 1598195299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598195299 |
| Entity Type | Organization |
| Organization Name | CALVERTHEALTH MEDICAL CENTER, INC. |
| Other Organization Name | CALVERTHEALTH URGENT CARE PRINCE FREDERICK |
| Practice Address |
130 Hospital Rd Suite 102 Prince Frederick MD 20678-4015 |
| Mailing Address |
100 Hospital Rd Prince Frederick MD 20678-4017 |
| Practice Telephone | 4105358911 |
| Practice Fax Number | 4105358912 |
| Mailing Telephone | 4104144791 |
| Mailing Fax Number | 4104144558 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | DEAN TEAGUE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4105358239 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALVERT HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
04-001 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 422079000 | 05 |
| Other Name | Type Code |
|---|---|
| CalvertHealth Urgent Care Prince Frederick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942657051 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 14090 Hg Trueman Rd, Suite 1500, Solomons, MD 20688-3151 | 2016-05-18 |
| 1558718668 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2016-05-18 |
| 1578910683 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 10845 Town Center Blvd, Suite 100, Dunkirk, MD 20754-2712 | 2016-05-18 |
| 1407283302 | Calverthealth Medical Center, Inc. | Clinic/Center | 85 Hospital Rd, Prince Frederick, MD 20678-4018 | 2013-10-09 |
| 1588808935 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Ste 1400, Solomons, MD 20688-3151 | 2009-04-29 |
| 1659550994 | Calverthealth Medical Center, Inc. | Clinic/Center | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2007-11-02 |
| 1245387208 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Suite1300, Solomons, MD 20688-3151 | 2007-01-04 |
| 1578620779 | Calverthealth Medical Center, Inc. | Clinic/Center | 10845 Town Center Blvd, Suite 108, Dunkirk, MD 20754-2712 | 2007-01-03 |
| 1457389298 | Calverthealth Medical Center, Inc. | General Acute Care Hospital | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-29 |
| Street Address |
130 HOSPITAL RD SUITE 102 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598462 | Lacy Twining Pitman | Nurse Practitioner | 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4015 | 2005-12-08 |
| 1992247589 | Gabriella Marie Reed | Registered Nurse | 130 Hospital Rd, Prince Frederick, MD 20678-4015 | 2016-11-14 |
| 1558718668 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2016-05-18 |
| 1154701464 | Laboratory Corporation of America | Clinical Medical Laboratory | 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 | 2015-06-02 |
| 1326382409 | Ryan A Hunsicker | Physical Therapist | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2012-11-15 |
| 1225310477 | Mcdermott Chiropractic Care, P.C. | Clinic/Center | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2011-09-14 |
| 1811292162 | Amanda E Eller | Physical Therapist | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2011-01-18 |
| 1992007645 | Christine Marie Berube | Occupational Therapist | 130 Hospital Rd, Suite 130, Prince Frederick, MD 20678-4015 | 2010-12-01 |
| 1477871507 | Christine Fratantuono | Physical Therapist | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2010-05-13 |
| 1417285784 | Amy Elizabeth Larson | Physician Assistant | 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 | 2009-11-25 |
| Find all providers in the same location | ||||
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780156455 | Statcare Group, LLC | Clinic/Center | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2018-12-19 |
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| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1215588686 | Mnr Industries, LLC | Clinic/Center | 615 Belair Rd, Ste Y, Bel Air, MD 21014-4311 | 2019-09-26 |
| 1508338286 | Statcare Group, LLC | Clinic/Center | 14090 Hg Trueman Rd # 1300, Solomons, MD 20688-3151 | 2018-12-19 |
| 1871065540 | Statcare Group, LLC | Clinic/Center | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2018-12-19 |
| 1841772589 | Statcare Group, LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| 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.