Healthcare Provider Details

I. General information

NPI: 1245387208
Provider Name (Legal Business Name): CALVERTHEALTH MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 HG TRUEMAN RD SUITE1300
SOLOMONS MD
20688-3151
US

IV. Provider business mailing address

100 HOSPITAL RD
PRINCE FREDERICK MD
20678-4017
US

V. Phone/Fax

Practice location:
  • Phone: 410-394-2800
  • Fax: 410-394-2805
Mailing address:
  • Phone: 410-394-2800
  • Fax: 410-394-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEAN TEAGUE
Title or Position: PRESIDENT & C.E.O.
Credential:
Phone: 410-535-8239