| |
701 Interchange Blvd Newark DE 19711-3594 | |
(302) 454-4941 | |
(302) 454-1969 |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 701 Interchange Blvd, Newark, Delaware |
Authorized Official Name and Position | Greg Mccarthy (COO) |
Authorized Official Contact | 7275307700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 746032 Atlanta GA 30374-6032 Ph: (727) 259-2255 | 701 Interchange Blvd Newark DE 19711-3594 Ph: (302) 454-4941 |
NPI Number | 1699745448 |
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Provider Enumeration Date | 01/25/2006 |
Last Update Date | 10/17/2022 |
Certification Date | 10/17/2022 |
Medicare PECOS PAC ID | 3274582812 |
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Medicare Enrollment ID | O20100930076035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699745448 | NPI | - | NPPES |
5093503 | Medicaid | NJ | |
00001185616 | Medicaid | DE | |
1132096 | Medicaid | PA | |
233858100 | Medicaid | MD | |
521360509 | Other | BCBS |
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