CHOPTANK COMMUNITY HEALTH SYSTEM, INC. (NPI# 1699906776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699906776 |
| Entity Type | Organization |
| Organization Name | CHOPTANK COMMUNITY HEALTH SYSTEM, INC. |
| Other Organization Name | GREENSBORO ELEMENTARY SCHOOL SBHC |
| Practice Address |
625 N Main St Greensboro MD 21639-1469 |
| Practice Telephone | 4104829148 |
| Practice Fax Number | 8339140405 |
| Mailing Telephone | 1048291484 |
| Mailing Fax Number | 8339140405 |
| 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 | 784381007 | 05 |
| Other Name | Type Code |
|---|---|
| Greensboro Elementary 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 |
| 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 |
625 N MAIN ST |
| City | GREENSBORO |
| State | MD |
| Zip Code | 21639-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956981 | Danielle Gravelle | Speech-Language Pathologist | 625 N Main St, Greensboro, MD 21639-1469 | 2020-09-10 |
| 1285753517 | Christina Marie Bartz | Physician Assistant | 625 N Main St, Greensboro, MD 21639-1469 | 2007-03-28 |
| 1619948924 | Susan Lynn Jusell-lappin | Social Worker | 625 N Main St, Greensboro Elementary School Wellness Center, Greensboro, MD 21639 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841332202 | Greensboro Pharmacy, Inc. | Pharmacy | 102 S Main St, Greensboro, MD 21639-0490 | 2007-02-13 |
| 1710433685 | Hue Kim Nguyen | Pharmacist | 12039 Greensboro Rd, Greensboro, MD 21639-1106 | 2016-08-30 |
| 1982041075 | Jacqueline A Mccarthy | Dental Hygienist | 13155 Greensboro Rd, Greensboro, MD 21639-1119 | 2013-05-29 |
| 1164645545 | Joseph H. Mccarthy | Dentist | 13155 Greensboro Rd Ste A, Greensboro, MD 21639-1119 | 2007-04-11 |
| 1083931687 | Mary Alice Reed Quillen | Music Therapist | 25989 Fox Grape Rd, Greensboro, MD 21639-1611 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740307 | New Life Development Foundation | Psychologist | 2406 Sidney Porter Dr, Greensboro, NC 27405-1692 | 2020-11-05 |
| 1487255378 | Frank Patterson Fairley Jr. | Student in an Organized Health Care Education/Training Program | 3006 Lawndale Dr Apt F, Greensboro, NC 27408-3450 | 2020-11-05 |
| 1952901571 | Kathy Robinson | Driver | 1510 Benjamin Pkwy Apt F, Greensboro, NC 27408-4617 | 2020-11-01 |
| 1194325746 | Koretta A King | Licensed Practical Nurse | 152 Queensberry Ct, Greensboro, NC 27405-4899 | 2020-10-31 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1689273146 | Jennifer French | Student in an Organized Health Care Education/Training Program | 4818 Hickory Woods Dr, Greensboro, NC 27410-9161 | 2020-10-25 |
| 1861091555 | Kiara Whitner | Respiratory Therapist, Certified | 422 Muirs Chapel Rd, Greensboro, NC 27410-6119 | 2020-10-22 |
| 1801495684 | Farres Ekoue Dosse | Non-emergency Medical Transport (VAN) | 1250 Revolution Mill Dr # 115-8, Greensboro, NC 27405-5191 | 2020-10-22 |
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| Find all providers in GREENSBORO | ||||
| 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 |
|---|---|---|---|---|
| 1326348087 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1439 E Cone Blvd, Greensboro, NC 27405-4533 | 2010-10-28 |
| 1710049986 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W. Meadowview Road, Greensboro, NC 27406-4316 | 2006-12-14 |
| 1285655936 | Whatley Health Services Inc | Clinic/Center | 800 Hall St, Greensboro, AL 36744 | 2006-07-21 |
| 1831197938 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W Meadowview Road, Greensboro, NC 27406-4316 | 2005-07-12 |
| 1144771106 | Oconee Valley Healthcare Inc | Clinic/Center | 1040 Park Dr, Greensboro, GA 30642 | 2016-10-14 |
| 1063882165 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1102 E Market St, Greensboro, NC 27401-6056 | 2015-10-01 |
| 1609279504 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2014-10-06 |
| 1831441104 | Cornerstone Car Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-10-10 |
| 1215288774 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-09-25 |
| 1407139439 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2011-09-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 21639 |
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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.