| Cchs-adult Medicine | |
|
Wilmington Hospital 501 W. 14th Street, 2nd Floor Wilmington DE 19899 | |
| (302) 428-4411 | |
| Not Available |
| Full Name | Cchs-adult Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | Wilmington Hospital, Wilmington, Delaware |
| Authorized Official Name and Position | Richard B Ellis (SR. VP FINANCE/MANAGED CARE, CFO) |
| Authorized Official Contact | 3026237203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cchs-adult Medicine Po Box 30170 Wilmington DE 19805-7170 Ph: (302) 623-7000 | Cchs-adult Medicine Wilmington Hospital 501 W. 14th Street, 2nd Floor Wilmington DE 19899 Ph: (302) 428-4411 |
| NPI Number | 1306820725 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306820725 | NPI | - | NPPES |
| 1306820725 | Medicaid | DE | |
| 000627002 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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