Provider Demographics
NPI:1376523357
Name:UNION HOSPITAL OF CECIL COUNTY
Entity Type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-398-3868
Mailing Address - Street 1:106 BOW ST
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5544
Mailing Address - Country:US
Mailing Address - Phone:410-398-4000
Mailing Address - Fax:410-620-1494
Practice Address - Street 1:106 BOW ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5544
Practice Address - Country:US
Practice Address - Phone:410-398-4000
Practice Address - Fax:410-620-1494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07005282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000220605Medicaid
MD000385900Medicaid
MDMC4OtherBC OF NCA
MD470001009OtherPERRYVILLE RAILROAD
MD0004568000OtherBC INDEPENDANCE
NY01609250Medicaid
DEA151081OtherBCBS OF DE
MDP00849784OtherMEDICARE PALMETTO
MD235776OtherCOMM MID ATLANTIC MED SE
MD470001663OtherRISING SUN RAILROAD
MD6902000000K729OtherCOM UNITED HC
MD009717OtherAETNA
MD24561OtherCOVENTRY
MD57350901OtherBCBS MD
DE0000246406Medicaid
MD6902000000KS91OtherCOM UNITED HC
MDDD6NOPOtherBCMD PRINCIPIO SITE LABS
MD6902000000K970OtherCOMM UHC
MDDD6NOPOtherBCMD PRINCIPIO SITE LABS
MD57350901OtherBCBS MD
MD=========OtherC OM UNITED HEALTHCARE
DE0000246406Medicaid