Delaware Community Care | |
29 E Main St Middletown DE 19709-1494 | |
(302) 513-0550 | |
Not Available |
Full Name | Delaware Community Care |
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Speciality | Clinic/Center |
Location | 29 E Main St, Middletown, Delaware |
Authorized Official Name and Position | Jay W Lynch (CEO) |
Authorized Official Contact | 3024837335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Delaware Community Care 29 E Main St Middletown DE 19709-1494 Ph: (302) 483-7335 | Delaware Community Care 29 E Main St Middletown DE 19709-1494 Ph: (302) 513-0550 |
NPI Number | 1366207466 |
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Provider Enumeration Date | 02/19/2024 |
Last Update Date | 04/20/2024 |
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 |
---|---|---|---|
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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