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CHRISTIANA CARE HEALTH SERVICES INC NPI 1619951068


NPI Information

NPI: 1619951068
Provider Name: CHRISTIANA CARE HEALTH SERVICES, INC

Doing Business As: CCHS FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 08D2284005

Address:
1401 FOULK RD
SUITE 100B
WILMINGTON, DE
ZIP 19803
Phone: (302) 477-3300
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CHRISTIANA CARE HEALTH SERVICES, INC is a family medicine in Wilmington, 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. CHRISTIANA CARE HEALTH SERVICES, INC NPI is 1619951068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cchs Family Medicine.

The provider's business location address is:

1401 FOULK RD
SUITE 100B
WILMINGTON, DE
ZIP 19803-763
Phone: (302) 477-3300
Fax: (302) 477-3168

The provider's authorized official is Robert W Mcmurray .
The authorized official title is Cfo and has the following contact phone number (302) 428-2522.

The CLIA number assigned to this NPI record is 08D2284005 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 12/17/2021.


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
2207QA0000XFamily MedicineAdolescent MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207QS0010XFamily MedicineSports MedicineNo
5363L00000XNurse PractitionerNo

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
11619951068MEDICAIDDELAWARE

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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