| La Red Health Center, Inc. | |
|
300 High St Seaford DE 19973-3940 | |
| (302) 855-1233 | |
| Not Available |
| Full Name | La Red Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 High St, Seaford, Delaware |
| Authorized Official Name and Position | Brian 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: () - | La Red Health Center, Inc. 300 High St Seaford DE 19973-3940 Ph: (302) 855-1233 |
| NPI Number | 1497071161 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 11/15/2013 |
| Medicare PECOS PAC ID | 4789668815 |
|---|---|
| Medicare Enrollment ID | O20111130000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497071161 | NPI | - | NPPES |
| 1497071161 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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