LOWER SHORE IMMEDIATE CARE OF SELBYVILLE NPI 1265115562

NPI Information

  • NPI: 1265115562
  • Provider Name: LOWER SHORE IMMEDIATE CARE OF SELBYVILLE
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 08D2288601
  • Address: 38229 DUPONT BLVD
    SELBYVILLE, DE
    ZIP 19975
  • Phone: (410) 651-0300

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NPI Details

LOWER SHORE IMMEDIATE CARE OF SELBYVILLE is an urgent care clinic center in Selbyville, DE. LOWER SHORE IMMEDIATE CARE OF SELBYVILLE NPI is 1265115562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

38229 DUPONT BLVD
SELBYVILLE, DE
ZIP 19975-045
Phone: (410) 651-0300

The provider's authorized official is Kevin Mull .
The authorized official title is Owner and has the following contact phone number (410) 651-0300.

The CLIA number assigned to this NPI record is 08D2288601 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2023 and was last updated on 7/1/2024.

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
12083X0100XPreventive MedicineOccupational MedicineNo
2208D00000XGeneral PracticeNo
3261QR1300XClinic/CenterRural HealthNo
4261QU0200XClinic/CenterUrgent CareYes
5261QX0100XClinic/CenterOccupational MedicineNo

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

NPI Synchronization or Removal

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