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TIDALHEALTH SPECIALTY CARE LLC NPI 1801038260


NPI Information

NPI: 1801038260
Provider Name: TIDALHEALTH SPECIALTY CARE, LLC

Other Name: TIDALHEALTH ORTHOPEDICS

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 21D2196224

Address:
30265 COMMERCE DR UNIT 103
MILLSBORO, DE
ZIP 19966
Phone: (302) 990-3280
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TIDALHEALTH SPECIALTY CARE, LLC is a medical specialty clinic center in Millsboro, DE. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TIDALHEALTH SPECIALTY CARE, LLC NPI is 1801038260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Tidalhealth Orthopedics.

The provider's business location address is:

30265 COMMERCE DR UNIT 103
MILLSBORO, DE
ZIP 19966-594
Phone: (302) 990-3280

The provider's authorized official is Stephanie Gary .
The authorized official title is Cfo and has the following contact phone number (410) 912-6059.

The CLIA number assigned to this NPI record is 21D2196224 - other - adult fitness & rehab ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 2/28/2023.


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
1207Q00000XFamily MedicineNo
2261QM2500XClinic/CenterMedical SpecialtyYes

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.