St. Michael'S Elementary School Sbhc

LBN: Choptank Community Health System, Inc.
St. Michael'S Elementary School Sbhc is an health care organization with primary practice located at 100 Seymour Ave , St. Michael'S MD 21663-2930. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Choptank Community Health System, Inc. can be contacted via phone (410) 745-2882, or through Rich, Sara via phone (410) 479-4306.

Contact Information

Primary practice address
100 Seymour Ave St. Michael'S MD 21663-2930
Phone: (410) 745-2882
Fax: (410) 479-1714
Website:
Map and Directions
Authorized official contact:
Name: Rich, Sara
Phone: (410) 479-4306

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Maryland

Profile Details

NPI number 1689985194
LBN Legal business name Choptank Community Health System, Inc.
DBA Doing business as St. Michael'S Elementary School Sbhc
Authorized official Rich, Sara
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 30th, 2010
Last updated Oct 30th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689985194 NPPES
Maryland MEDICAID 784381000

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