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FEDERALSBURG MEDICAL CENTER
NPI 1184840183
Clinic/Center - Federally Qualified Health Center (FQHC) in Federalsburg, MD

Active since April 18, 2007
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632(410) 754-9021(833) 908-2285 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Federalsburg Medical Center NPPES

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

FEDERALSBURG MEDICAL CENTER (NPI 1184840183) is a healthcare organization registered as a federally qualified health center (fqhc) in Federalsburg, Maryland and active in the NPI registry since April 2007. The organization lists Sara Rich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184840183
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Location Address215 BLOOMINGDALE AVEFederalsburg, MD 21632-1012
Mailing Address215 Bloomingdale AveFederalsburg, MD 21632-1012 · (410) 754-9021 · Fax (833) 908-2285
Phone(410) 754-9021
Fax(833) 908-2285
Organization SubpartNo
Authorized OfficialSara RichCeo · (410) 479-4306
Enumeration DateApril 18, 2007
Last NPPES UpdateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1184840183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
215 BLOOMINGDALE AVE, Federalsburg, MD 21632
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Other Names 1

Doing Business AsFederalsburg Medical Center

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Federalsburg Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20071004000540Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 19

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

CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-7583
MRS. DAISY M WERKHEISER CRNP
Nurse Practitioner (Primary Care)
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
CHRISTINE LYNN DURHAM-PRESSLEY CRNP
Nurse Practitioner
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
CHRISTINE CHIAMAKA ANUSIM DDS
Dentist
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
ANDREA CHANG
Student in an Organized Health Care Education/Training Program
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
JORDAN DAVID BURNETTE DO
Family Medicine
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
RANDI MARIE WELCH LGADC
Counselor (Mental Health)
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021
MS. LINA M ABUNORA PA-C
Physician Assistant
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Caroline County (410) 754-9021

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 Choptank Community Health System, Inc.'s NPI number?

The NPI number for Choptank Community Health System, Inc. is 1184840183. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Federalsburg Medical Center.

Where is Choptank Community Health System, Inc. located?

Choptank Community Health System, Inc. is located at 215 Bloomingdale Ave, Federalsburg, MD 21632. The listed phone number is (410) 754-9021.

What is Choptank Community Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Choptank Community Health System, Inc. enrolled in Medicare?

Yes. Choptank Community Health System, Inc. is registered in the Medicare PECOS enrollment system.

When is Choptank Community Health System, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Maryland, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Choptank Community Health System, Inc. was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.