TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1124604442
General Acute Care Hospital in Crisfield, MD
NPI Status: Active since March 18, 2021
Contact Information
MCCREADY HEALTH PAVILION
201 HALL HWY
CRISFIELD, MD
ZIP 21817
Phone: (410) 543-7733
- Organization
- General Acute Care Hospital
- CLIA Number: 21D0695277
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 01-02-2027
About TIDALHEALTH PENINSULA REGIONAL, INC.
This page provides the complete NPI Profile along with additional information for Tidalhealth Peninsula Regional, Inc., a provider established in Crisfield, Maryland operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1124604442 assigned on March 2021. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Bruce Ritchie (Cfo Finance Vice President)
- NPI
- 1124604442
- Provider Name
- TIDALHEALTH PENINSULA REGIONAL, INC.
- Entity Type
- Organization
- Location Address
- MCCREADY HEALTH PAVILION 201 HALL HWY CRISFIELD, MD 21817
- Location Phone
- (410) 543-7733
- Mailing Address
- 100 E CARROLL ST SALISBURY, MD 21801
- Mailing Phone
- (410) 546-6400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-18-2021
- Last Update Date
- 03-18-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000325501 | MEDICAID (05) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0695277
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. ROBERT CHASSE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Tidalhealth Peninsula Regional, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124604442, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124604442, enumerated as an "organization" on March 18, 2021.
The provider is located at MCCREADY HEALTH PAVILION 201 HALL HWY CRISFIELD, MD 21817 and the phone number is (410) 543-7733.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
