Healthcare Provider Details

I. General information

NPI: 1881683423
Provider Name (Legal Business Name): MCCREADY FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 HALL HWY
CRISFIELD MD
21817-1237
US

IV. Provider business mailing address

201 HALL HWY
CRISFIELD MD
21817-1237
US

V. Phone/Fax

Practice location:
  • Phone: 410-968-1200
  • Fax: 410-968-1025
Mailing address:
  • Phone: 410-968-1200
  • Fax: 410-968-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number19-001
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number19-001
License Number StateMD

VIII. Authorized Official

Name: MR. FRANK COLLINS
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 410-968-1200