Provider Demographics
NPI:1326396896
Name:CHI HEALTH CARE INC.
Entity Type:Organization
Organization Name:CHI HEALTH CARE INC.
Other - Org Name:CASEY HEALTH INSTITUTE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EVP/COO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-355-2034
Mailing Address - Street 1:15001 SHADY GROVE RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-664-6464
Mailing Address - Fax:301-963-0072
Practice Address - Street 1:15001 SHADY GROVE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-664-6464
Practice Address - Fax:301-963-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care