SHORE HEALTH SYSTEM SURGERY CENTER – NPI #1649501073
Clinic/Center

SHORE HEALTH SYSTEM SURGERY CENTER is an AHC clinic located in EASTON, MD. NPPES has assigned the NPI number 1649501073 to SHORE HEALTH SYSTEM SURGERY CENTER on January 25, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHORE HEALTH SYSTEM SURGERY CENTER” is a dba name, the actual legal business name for this organization is SHORE HEALTH SYSTEM, INC.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Mar 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHORE HEALTH SYSTEM SURGERY CENTER below.

NPI Profile for
SHORE HEALTH SYSTEM, INC.

NPI Number
1649501073
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHORE HEALTH SYSTEM, INC.
Doing Business As (dba): SHORE HEALTH SYSTEM SURGERY CENTER
Primary location
6 CAULK LANE
EASTON, MD 21601-3854
Phone: (410) 822-5559 Fax: (410) 822-8238
Mailing address
219 S WASHINGTON STREET
EASTON, MD 21601-2913
Phone: (410) 822-1000 Fax: (410) 822-7834
Organization Subpart
No
Authorized Official
KENNETH KOZEL
PRESIDENT & CEO
Phone: (410) 822-1000
Updated
Identifiers

Identifiers for SHORE HEALTH SYSTEM SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD000305100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.