| Delmarva Rural Ministries, Inc. | |
|
1095 S Bradford St Dover DE 19904-4141 | |
| (302) 678-2000 | |
| (302) 346-0181 |
| Full Name | Delmarva Rural Ministries, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1095 S Bradford St, Dover, Delaware |
| Authorized Official Name and Position | Lou Ann Vanderwende (PATIENT ACCOUNT COORDINATOR) |
| Authorized Official Contact | 3026783652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delmarva Rural Ministries, Inc. 26 Wyoming Ave Dover DE 19904-6922 Ph: (302) 678-3652 | Delmarva Rural Ministries, Inc. 1095 S Bradford St Dover DE 19904-4141 Ph: (302) 678-2000 |
| NPI Number | 1356354708 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356354708 | NPI | - | NPPES |
| 0000467066 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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