| La Red Health Center Inc | |
|
21444 Carmean Way Georgetown DE 19947-4572 | |
| (302) 855-1233 | |
| (302) 855-1020 |
| Full Name | La Red Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21444 Carmean Way, Georgetown, Delaware |
| Authorized Official Name and Position | Brian S Olson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3028552020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Red Health Center Inc 21444 Carmean Way Georgetown DE 19947-4572 Ph: (302) 855-1233 | La Red Health Center Inc 21444 Carmean Way Georgetown DE 19947-4572 Ph: (302) 855-1233 |
| NPI Number | 1811171978 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 11/15/2013 |
| Medicare PECOS PAC ID | 4789668815 |
|---|---|
| Medicare Enrollment ID | O20070124000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811171978 | NPI | - | NPPES |
| 11811171978 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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