Tidalhealth Peninsula Regional, Inc.
LBN: Tidalhealth Peninsula Regional, Inc.
Tidalhealth Peninsula Regional, Inc. is an health care organization with primary practice located at 100 E Carroll St Peninsula Regional Medical Group, Salisbury MD 21801-5422. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Tidalhealth Peninsula Regional, Inc. can be contacted via phone (410) 543-7252, or through Gary, Stephanie via phone (410) 912-6059.
Contact Information
Primary practice address
100 E Carroll St Peninsula Regional Medical Group
Salisbury MD 21801-5422
Phone: (410) 543-7252
Fax: (410) 912-6386
Website:
Health care specialties
Profile Details
| NPI number | 1184832040 |
|---|---|
| LBN Legal business name | Tidalhealth Peninsula Regional, Inc. |
| DBA Doing business as | |
| Authorized official | Gary, Stephanie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Feb 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184832040 | NPPES |
| Maryland | Other | CC4271 | MEDICARE RRB |
| Maryland | Other | CA8333 | MEDICARE RRB |
| Maryland | MEDICAID | 0000241502 | MEDICARE RRB |
| Maryland | Other | C10607 | MEDICARE RRB |
| Maryland | Other | K230 | MEDICARE RRB |
| Maryland | Other | K230 | MEDICARE RRB |
| Maryland | MEDICAID | 401428600 | MEDICARE RRB |
| Maryland | Other | CA8334 | MEDICARE RRB |
| Maryland | Other | G01753 | MEDICARE RRB |
| Maryland | MEDICAID | 525701800 | MEDICARE RRB |
| Maryland | Other | C10607 | MEDICARE RRB |
| Maryland | Other | CC3716 | MEDICARE RRB |
| Maryland | Other | G01753 | MEDICARE RRB |
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