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NPI Code Detail

MEDICARE: UPPER CHESAPEAKE MEDICAL CENTER, INC.

MEDICARE: UPPER CHESAPEAKE MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM2500XMedical Specialty Clinic/Center
4283X00000XRehabilitation Hospital
5282N00000XGeneral Acute Care Hospital12006MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598761355
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER CHESAPEAKE MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 500 UPPER CHESAPEAKE DR
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 UPPER CHESAPEAKE DR
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number : 443-643-1000
Fax Number :
Authorized Official
Title or Position : CFO
Name : MARCUS THOMAS AUGUSTUS PRIOLO
Credential :
Telephone Number : 443-643-3340
Provider Enumeration Date : 06/24/2005
Last Update Date : 12/08/2023

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