Delaware Community Care | |
103 Rockrose Dr Newark DE 19711-6825 | |
(302) 660-1100 | |
(302) 250-4707 |
Full Name | Delaware Community Care |
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Speciality | Clinic/Center |
Location | 103 Rockrose Dr, Newark, Delaware |
Authorized Official Name and Position | Jay W Lynch (CEO) |
Authorized Official Contact | 3026601100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delaware Community Care 103 Rockrose Dr Newark DE 19711-6825 Ph: (302) 660-1100 | Delaware Community Care 103 Rockrose Dr Newark DE 19711-6825 Ph: (302) 660-1100 |
NPI Number | 1366207466 |
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Provider Enumeration Date | 02/19/2024 |
Last Update Date | 01/26/2025 |
Medicare PECOS PAC ID | 3779925474 |
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Medicare Enrollment ID | O20240528000289 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366207466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Debra Lynch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326352758 PECOS PAC ID: 8628214988 Enrollment ID: I20130412000009 |
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