State Of Delaware in Dover - Student Health
State Of Delaware - NPI 1104984525
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 1104984525. 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 | 1104984525 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| 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 |
|---|---|---|---|
| 1000013808 | DE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to State Of Delaware by the Centers for Medicare & Medicaid Services?
The State Of Delaware has been assigned the NPI (National Provider Identifier) 1104984525 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of State Of Delaware?
The State Of Delaware is physically situated at 417 Federal St, in the city of Dover, state of DE, with the postal code 199013635.
What is the State Of Delaware's specialty and taxonomy code?
The State Of Delaware's specialty is Student Health, and the corresponding taxonomy code is 261Qs1000X.
On what date did State Of Delaware receive its 1104984525 assignment from the Centers for Medicare & Medicaid Services?
The State Of Delaware was assigned its 1104984525 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to State Of Delaware most recently updated or refreshed?
The details pertaining to the State Of Delaware, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.