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PENINSULA REGIONAL MEDICAL CENTER NPI 1083856686


NPI Information

NPI: 1083856686
Provider Name: PENINSULA REGIONAL MEDICAL CENTER

Other Name: LAUREL FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
30668 SUSSEX HWY
LAUREL FAMILY MEDICINE
LAUREL, DE
ZIP 19956
Phone: (302) 875-6550
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PENINSULA REGIONAL MEDICAL CENTER is a family medicine in Laurel, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PENINSULA REGIONAL MEDICAL CENTER NPI is 1083856686. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Laurel Family Medicine.

The provider's business location address is:

30668 SUSSEX HWY
LAUREL FAMILY MEDICINE
LAUREL, DE
ZIP 19956-421
Phone: (302) 875-6550
Fax: (302) 875-6573

The provider's authorized official is Donna E Horner .
The authorized official title is Credentialing Coordinator and has the following contact phone number (410) 543-7531.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 4/30/2009.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G01753MEDICARE PINDELAWARE

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

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