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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1124604442
General Acute Care Hospital in Crisfield, MD

Active since March 18, 2021CLIA Certified · 2 labs
MCCREADY HEALTH PAVILION, 201 HALL HWY, CRISFIELD, MD 21817(410) 543-7733 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1124604442) is a healthcare organization registered as a general acute care hospital in Crisfield, Maryland and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates and lists Bruce Ritchie, Cfo Finance Vice President, as its authorized official.

NPPES Registry Identity

NPI1124604442
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location AddressMCCREADY HEALTH PAVILION, 201 HALL HWYCrisfield, MD 21817-1237
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400
Phone(410) 543-7733
Organization SubpartNo
Authorized OfficialBruce RitchieCfo Finance Vice President · (410) 543-7298
Enumeration DateMarch 18, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1124604442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
MCCREADY HEALTH PAVILION, Crisfield, MD 21817
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Other Identifiers 1

Medicaid000325501MD

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 21D0221168

Tidalhealth Peninsula Regional Inc · Salisbury, MD
Active · expires Feb 27, 2027
CLIA Number21D0221168
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Michael J. Wagner
Laboratory Phone(410) 546-6400
Laboratory LocationTidalhealth Peninsula Regional Inc100 East Carroll Street, Salisbury, MD 21801
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 21D0695277

Tidalhealth Peninsula Regional Inc Abg Lab · Salisbury, MD
Active · expires Jan 2, 2027
CLIA Number21D0695277
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Robert Chasse
Laboratory Phone(410) 546-6400
Laboratory LocationTidalhealth Peninsula Regional Inc Abg Lab100 East Carroll Street, Salisbury, MD 21801
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1124604442. It was assigned to this organization in the NPPES registry on March 18, 2021.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at Mccready Health Pavilion 201 Hall Hwy, Crisfield, MD 21817. The listed phone number is (410) 543-7733.

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

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Tidalhealth Peninsula Regional, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on March 18, 2021. 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.