| Henrietta Johnson Medical Center | |
|
601 New Castle Ave Wilmington DE 19801 | |
| (302) 655-6187 | |
| (302) 655-6606 |
| Full Name | Henrietta Johnson Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 New Castle Ave, Wilmington, Delaware |
| Authorized Official Name and Position | Rosa V Rivera (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3026556187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrietta Johnson Medical Center 601 New Castle Ave Wilmington DE 19801 Ph: (302) 655-6187 | Henrietta Johnson Medical Center 601 New Castle Ave Wilmington DE 19801 Ph: (302) 655-6187 |
| NPI Number | 1770699621 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 01/16/2013 |
| Medicare PECOS PAC ID | 8426967928 |
|---|---|
| Medicare Enrollment ID | O20030221000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770699621 | NPI | - | NPPES |
| 458117 | Other | TRAIL BLAZER | |
| 0000332866 | Medicaid | DE |
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