CALVERTHEALTH MEDICAL CENTER, INC. (NPI# 1659550994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659550994 |
| Entity Type | Organization |
| Organization Name | CALVERTHEALTH MEDICAL CENTER, INC. |
| Other Organization Name | CALVERTHEALTH NON-INVASIVE VASCULAR LAB SERVICES OF CHVH |
| Practice Address |
29449 Charlotte Hall Rd Charlotte Hall MD 20622-3042 |
| Mailing Address |
100 Hospital Rd Prince Frederick MD 20678-4017 |
| Practice Telephone | 4104144539 |
| Practice Fax Number | 4104144540 |
| Mailing Telephone | 4105358259 |
| Mailing Fax Number | 4105358417 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | DEAN TEAGUE (PRESIDENT & C.E.O.) |
| 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 | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
04-001 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CalvertHealth Non-Invasive Vascular Lab Services of CHVH | 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 |
| 1598195299 | Calverthealth Medical Center, Inc. | Clinic/Center | 130 Hospital Rd, Suite 102, Prince Frederick, MD 20678-4015 | 2013-11-15 |
| 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 |
| 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 |
29449 CHARLOTTE HALL RD |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821015876 | Hmr of Maryland LLC | Skilled Nursing Facility | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2006-07-16 |
| 1902396112 | Cam Rehabilitation Services, LLC | Hospice, Inpatient | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2018-05-14 |
| 1356749592 | Hmrx, LLC | Pharmacy | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2014-12-19 |
| 1740355411 | Lydia Kovacs | Physician Assistant | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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|---|---|---|---|---|
| 1184285678 | Pdihealth Md LLC | Clinic/Center | 12 S Summit Ave Ste 100-a25, Gaithersburg, MD 20877-2089 | 2019-06-25 |
| 1164808259 | Precision Imaging and Diagnostic Services | Clinic/Center | 1807 Pennsylvania Ave Ste E, Baltimore, MD 21217-3214 | 2015-07-30 |
| 1871886838 | Palm Diagnostics Inc | Clinic/Center | 5021 Rome Red Way, Ellicott City, MD 21043-6847 | 2011-05-24 |
| 1396366845 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-4095 | 2020-05-06 |
| 1437649068 | Alliance Healthcare Services Inc | Clinic/Center | 111 W High St, Elkton, MD 21921-5529 | 2018-05-18 |
| 1407283302 | Calverthealth Medical Center, Inc. | Clinic/Center | 85 Hospital Rd, Prince Frederick, MD 20678-4018 | 2013-10-09 |
| 1689969172 | H & J Mobile X-ray LLC. | Clinic/Center | 6188 Oxon Hill Rd, 603, Oxon Hill, MD 20745-3113 | 2011-06-13 |
| 1699902411 | Heads Up Imaging, LLC | Clinic/Center | 535 Main St, Suite 113, Laurel, MD 20707-4335 | 2009-06-18 |
| 1275723488 | Cardio Vascular Center, LLC | Clinic/Center | 6228 Oxon Hill Rd, Oxon Hill, MD 20745-3033 | 2007-07-25 |
| 1043430945 | U.S. Mobile Imaging Ll | Clinic/Center | 122 S Centre St, Cumberland, MD 21502-3021 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
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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.