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TIDALHEALTH PENINSULA REGIONAL INC. NPI 1033592662


NPI Information

NPI: 1033592662
Provider Name: TIDALHEALTH PENINSULA REGIONAL, INC.

Other Name: PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
804 SNOW HILL RD
SALISBURY, MD
ZIP 21804
Phone: (410) 543-7599
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TIDALHEALTH PENINSULA REGIONAL, INC. is a radiology and mammography clinic center in Salisbury, MD. TIDALHEALTH PENINSULA REGIONAL, INC. NPI is 1033592662. The provider is registered as an organization entity type.
The provider Other Name Is Peninsula Regional Medical Center Breast Center.

The provider's business location address is:

804 SNOW HILL RD
SALISBURY, MD
ZIP 21804-938
Phone: (410) 543-7599

The provider's authorized official is Bruce Ritchie .
The authorized official title is Chief Financial Officer and has the following contact phone number (410) 543-7298.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 10/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0206XClinic/CenterRadiology, MammographyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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