Provider Type Icon

CRESTVIEW MEDICAL CENTER P A NPI 1023147493


NPI Information

NPI: 1023147493
Provider Name: CRESTVIEW MEDICAL CENTER P A
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1800 N BROOM ST
SUITE 109
WILMINGTON, DE
ZIP 19802
Phone: (302) 762-4545
Get Directions

CRESTVIEW MEDICAL CENTER P A is a preferred provider organization in Wilmington, DE. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CRESTVIEW MEDICAL CENTER P A NPI is 1023147493. The provider is registered as an organization entity type.

The provider's business location address is:

1800 N BROOM ST
SUITE 109
WILMINGTON, DE
ZIP 19802-809
Phone: (302) 762-4545
Fax: (302) 762-9086

The provider's authorized official is Clement A. Ogunwande .
The authorized official title is Medical Director and has the following contact phone number (302) 762-4545.

The enumeration date for this NPI number is 3/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationC2-0004996DELAWAREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.