Pace Community Medical Healthcare Center, Llc | |
246 W General Grey Ct Newark DE 19702-3831 | |
(302) 722-6821 | |
Not Available |
Full Name | Pace Community Medical Healthcare Center, Llc |
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Speciality | Clinic/Center |
Location | 246 W General Grey Ct, Newark, Delaware |
Authorized Official Name and Position | Lydia Akomeah (DIRECTOR) |
Authorized Official Contact | 3027226821 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pace Community Medical Healthcare Center, Llc 246 W General Grey Ct Newark DE 19702-3831 Ph: (302) 722-6821 | Pace Community Medical Healthcare Center, Llc 246 W General Grey Ct Newark DE 19702-3831 Ph: (302) 722-6821 |
NPI Number | 1134827587 |
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Provider Enumeration Date | 02/15/2023 |
Last Update Date | 02/15/2023 |
Medicare PECOS PAC ID | 7012381924 |
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Medicare Enrollment ID | O20230316000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134827587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lydia Akomeah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275263352 PECOS PAC ID: 8921472838 Enrollment ID: I20230316000018 |
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