| Medexpress - Newark | |
|
1c Chestnut Hill Plaza Newark DE 19713 | |
| (302) 266-0930 | |
| (302) 266-0876 |
| Full Name | Medexpress - Newark |
|---|---|
| Speciality | Family Medicine |
| Location | 1c Chestnut Hill Plaza, Newark, Delaware |
| Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
| Authorized Official Contact | 7633496740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medexpress - Newark 423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | Medexpress - Newark 1c Chestnut Hill Plaza Newark DE 19713 Ph: (302) 266-0930 |
| NPI Number | 1992060016 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 5294981163 |
|---|---|
| Medicare Enrollment ID | O20121030000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992060016 | NPI | - | NPPES |
| 1255692182 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Secondary |
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