| Northeast Community Health | |
|
908 E 16th St Ste B Wilmington DE 19802-5145 | |
| (302) 225-1800 | |
| (302) 225-4526 |
| Full Name | Northeast Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 E 16th St Ste B, Wilmington, Delaware |
| Authorized Official Name and Position | Lolita A. Lopez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3026568292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Community Health Po Box 151 New Castle DE 19720-0151 Ph: (302) 655-5822 | Northeast Community Health 908 E 16th St Ste B Wilmington DE 19802-5145 Ph: (302) 225-1800 |
| NPI Number | 1952303695 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 6800706599 |
|---|---|
| Medicare Enrollment ID | O20030506000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952303695 | NPI | - | NPPES |
| 0000356566 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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