TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1780689463
General Acute Care Hospital in Salisbury, MD

Active since June 17, 2005CLIA 21D0695277 · Accreditation
100 E CARROLL ST, SALISBURY, MD 21801(410) 546-6400(410) 543-7020 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 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 1780689463) is a healthcare organization registered as a general acute care hospital in Salisbury, Maryland and active in the NPI registry since June 2005. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Steven Leonard, President/c.e.o., as its authorized official.

NPPES Registry Identity

NPI1780689463
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400 · Fax (410) 543-7020
Fax(410) 543-7020
Organization SubpartNo
Authorized OfficialSteven LeonardPresident/c.e.o. · (410) 546-6400
Enumeration DateJune 17, 2005
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1780689463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in MD · 22003
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 22003 (MD)
100 E CARROLL ST, Salisbury, MD 21801

Accepted 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 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780689463, enumerated as an "organization" on June 17, 2005.

The provider is located at 100 E CARROLL ST SALISBURY, MD 21801 and the phone number is (410) 546-6400.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.