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LA RED HEALTH CENTER INC. NPI 1790004786


NPI Information

NPI: 1790004786
Provider Name: LA RED HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 08D2097540

Address:
1057 S BRADFORD ST
DOVER, DE
ZIP 19904
Phone: (302) 855-1233
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LA RED HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Dover, DE. LA RED HEALTH CENTER, INC. NPI is 1790004786. The provider is registered as an organization entity type.

The provider's business location address is:

1057 S BRADFORD ST
DOVER, DE
ZIP 19904-141
Phone: (302) 855-1233
Fax: (302) 855-1020

The provider's authorized official is Brian Olson .
The authorized official title is Chief Executive Officer and has the following contact phone number (302) 855-2020.

The CLIA number assigned to this NPI record is 08D2097540 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/31/2010 and was last updated on 5/31/2010.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.