State Of Delaware in Dover - Student Health

State Of Delaware - NPI 1114087921

State Of Delaware is a Student Health in Dover, Delaware. State Of Delaware practices all healthcare services and medical treatments related to Student Health. The NPI Number for State Of Delaware is 1114087921. The last update date is 2020-08-22.

State Of Delaware's current location address is 417 Federal St, Dover, Delaware. You can contact this provider via phone number 3027444849 and fax number 3027396627. The mailing address for State Of Delaware is 417 Federal St, Dover, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Delaware
Address 417 Federal St, Dover, Delaware
Phone Number 3027444849
Fax Number 3027396627
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Ellis Herman
Credentials MD
Telephone Number 3027444700

NPI Number Detail

NPI Number 1114087921
Provider Enumeration Date 2006-12-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 417 Federal St
City Dover
State Delaware (DE)
Post Code 199013635
Phone Number 3027444849
Fax Number 3027396627

Provider's Primary Taxonomy Detail

Speciality Student Health
Taxonomy 261Qs1000X
Definition:
Provides basic health and medical services for college and university students.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000013813 DE --

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FAQs about State Of Delaware

What is the State Of Delaware's unique identification number?

The State Of Delaware has been assigned the NPI (National Provider Identifier) Number 1114087921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where State Of Delaware's facilities are situated?

The facilities of State Of Delaware are physically located at the following address: 417 Federal St, Dover, DE, 199013635.

What is the State Of Delaware's area of specialization and corresponding taxonomy classification?

The State Of Delaware's specialty field is Student Health, and it falls under the taxonomy code 261Qs1000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1114087921 to State Of Delaware?

The State Of Delaware received its 1114087921 assignment from the Centers for Medicare & Medicaid Services on 2006-12-11.

When was the information regarding State Of Delaware most recently updated?

The details pertaining to the State Of Delaware, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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