| St Clare Medical Outreach | |
|
701 N Clayton St Wilmington DE 19805-3165 | |
| (302) 575-8040 | |
| (302) 572-8005 |
| Full Name | St Clare Medical Outreach |
|---|---|
| Speciality | Family Medicine |
| Location | 701 N Clayton St, Wilmington, Delaware |
| Authorized Official Name and Position | Kimberly Cummings (VP, FINANCE AND CFO) |
| Authorized Official Contact | 2157102508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clare Medical Outreach 701 N Clayton St Wilmington DE 19805-3165 Ph: (734) 343-2654 | St Clare Medical Outreach 701 N Clayton St Wilmington DE 19805-3165 Ph: (302) 575-8040 |
| NPI Number | 1114267150 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114267150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C1-0008737 (Delaware) | Secondary |
| 207Q00000X | Family Medicine | C2-0011612 (Delaware) | Primary |
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