Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1285524256

Tidalhealth Primary Care, LLC provides Family Medicine Physician services in Salisbury, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

805 E Church St
Salisbury, MD 21804-4349
Phone: (410) 543-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1285524256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealth Community Clinic; Tidalhealth Community Clinic
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825474, Philadelphia, PA 19182-5474

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