Provider Demographics
NPI:1922246206
Name:UNION HOSPITAL OF CECIL COUNTY
Entity Type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY
Other - Org Name:OPEN MRI AND IMAGING AT PRINCIPIO
Other - Org Type:Doing Business As
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:410-398-4000
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21922-0190
Mailing Address - Country:US
Mailing Address - Phone:410-398-4679
Mailing Address - Fax:410-620-3686
Practice Address - Street 1:4863 PULASKI HWY
Practice Address - Street 2:STE 100 PRINCIPIO HEALTH CENTER
Practice Address - City:PERRYVILLE
Practice Address - State:MD
Practice Address - Zip Code:21903
Practice Address - Country:US
Practice Address - Phone:410-398-4679
Practice Address - Fax:410-620-3686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty