Healthcare Provider Details

I. General information

NPI: 1689978751
Provider Name (Legal Business Name): UNION HOSPITAL OF CECIL COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 09/02/2025
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BOW ST
ELKTON MD
21921-5544
US

IV. Provider business mailing address

PO BOX 7356
LANCASTER PA
17604-7356
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-4000
  • Fax:
Mailing address:
  • Phone: 410-398-3868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JUDY RIESEN
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 410-398-4000