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PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER
NPI 1033592662
Clinic/Center - Radiology, Mammography in Salisbury, MD

Active since July 01, 2015CLIA 21D2259406 · Waiver
804 SNOW HILL RD, SALISBURY, MD 21804(410) 543-7599 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2020, Jan 28, 2016 (2 updates tracked since 2016).

About Peninsula Regional Medical Center Breast Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER (NPI 1033592662) is a healthcare organization registered as a radiology, mammography in Salisbury, Maryland and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Bruce Ritchie, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1033592662
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address804 SNOW HILL RDSalisbury, MD 21804-1938
Mailing Address100 E Carroll StSalisbury, MD 21801-5422
Phone(410) 543-7599
Organization SubpartYesParent: Peninsula Regional Medical Center
Authorized OfficialBruce RitchieChief Financial Officer · (410) 543-7298
Enumeration DateJuly 1, 2015
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1033592662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
804 SNOW HILL RD, Salisbury, MD 21804
Open in Google Maps ↗

Other Names 2

Other NamePeninsula Regional Medical Center Breast Center
Other NameTidalhealth Breast Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2259406

Tidalhealth Peninsula Regional Inc Richard A Henso · Salisbury, MD
Active · expires May 4, 2028
CLIA Number21D2259406
Laboratory TypeResearch
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorSteven Hearne
Laboratory Phone(410) 912-6122
Laboratory LocationTidalhealth Peninsula Regional Inc Richard A Henso106 Milford Street Suite 603, Salisbury, MD 21804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID ATLANTIC SURGICAL GROUP
Surgery
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 543-9332
DR. DAVID M. SCHALK M.D.
Anesthesiology
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 546-0300
TIDALHEALTH SPECIALTY CARE, LLC
Radiology (Diagnostic Radiology)
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 543-7356
DELMARVA RADIOLOGY PA
Radiology (Diagnostic Radiology)
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 749-1124
CHESAPEAKE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 548-1104
ANESTHESIA ASSOC OF MARYLAND
Anesthesiology
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (877) 580-4635
TIDALHEALTH SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 543-7171
TIDALHEALTH SPECIALTY CARE, LLC
Surgery
804 SNOW HILL RD
SALISBURY, MD 21804
Wicomico County (410) 543-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1033592662. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is also known as Peninsula Regional Medical Center Breast Center and TidalHealth Breast Center.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 804 Snow Hill Rd, Salisbury, MD 21804. The listed phone number is (410) 543-7599.

What is Tidalhealth Peninsula Regional, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

Does Tidalhealth Peninsula Regional, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2259406) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tidalhealth Peninsula Regional, Inc. accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Tidalhealth Peninsula Regional, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.