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TIDALHEALTH NANTICOKE INC NPI 1245214477


NPI Information

NPI: 1245214477
Provider Name: TIDALHEALTH NANTICOKE, INC
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 08D0976531

Address:
801 MIDDLEFORD RD
SEAFORD, DE
ZIP 19973
Phone: (302) 629-6611
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TIDALHEALTH NANTICOKE, INC is a general acute care hospital in Seaford, DE. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. TIDALHEALTH NANTICOKE, INC NPI is 1245214477. The provider is registered as an organization entity type.

The provider's business location address is:

801 MIDDLEFORD RD
SEAFORD, DE
ZIP 19973-636
Phone: (302) 629-6611
Fax: (302) 628-6363

The provider's authorized official is Sloan Trammell .
The authorized official title is Manager - Business Office and has the following contact phone number (410) 912-6989.

The CLIA number assigned to this NPI record is 08D0976531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 10/30/2023.


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
1261QP2000XClinic/CenterPhysical TherapyNo
2261QR0200XClinic/CenterRadiologyNo
3291U00000XClinical Medical LaboratoryNo
4282N00000XGeneral Acute Care HospitalHSPTL008DELAWAREYes

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
1000067105MEDICAIDDELAWARE
2000067506MEDICAIDDELAWARE

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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