MEDICARE: SUMMIT COMMUNITY HEALTH, 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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1699627380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT COMMUNITY HEALTH, INC

Provider Business Mailing Address
First Line	:	5008 EDMONDSON AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-2332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 WELLINGTON DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-6009
Country	:	US
Telephone Number	:	410-246-1508
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PROGRAMS
Name	:	CHRISTINA L MEYER
Credential	:
Telephone Number	:	410-961-1866

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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