STATE OF DELAWARE NPI 1003984410

NPI Information

  • NPI: 1003984410
  • Provider Name: STATE OF DELAWARE
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Other Name: MIDDLETOWN WELLNESS CENTER
  • Address: 417 FEDERAL ST
    DOVER, DE
    ZIP 19901
  • Phone: (302) 744-4849

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NPI Details

STATE OF DELAWARE is a student health clinic center in Dover, DE. STATE OF DELAWARE NPI is 1003984410. The provider is registered as an organization entity type.
The provider Other Name Is Middletown Wellness Center.

The provider's business location address is:

417 FEDERAL ST
DOVER, DE
ZIP 19901-635
Phone: (302) 744-4849
Fax: (302) 739-6627

The provider's authorized official is Herman Ellis .
The authorized official title is Medical Director and has the following contact phone number (302) 744-4700.

The enumeration date for this NPI number is 12/1/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000013831MEDICAIDDELAWARE

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: 3/30/2025

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