Healthcare Provider Details

I. General information

NPI: 1376523357
Provider Name (Legal Business Name): UNION HOSPITAL OF CECIL COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BOW ST
ELKTON MD
21921-5544
US

IV. Provider business mailing address

4000 NEXUS DR # E3
WILMINGTON DE
19803-3000
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-4000
  • Fax: 410-620-1494
Mailing address:
  • Phone: 302-428-6782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number07005
License Number StateMD

VIII. Authorized Official

Name: JUDY RIESEN
Title or Position: DIRECTOR, HOSPITAL BILLING
Credential:
Phone: 302-428-6782