LA RED HEALTH CENTER, INC. (NPI# 1750762126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750762126 |
| Entity Type | Organization |
| Organization Name | LA RED HEALTH CENTER, INC. |
| Practice Address |
21 W Clarke Ave Ste 1001 Milford DE 19963-1840 |
| Mailing Address |
21444 Carmean Way Georgetown DE 19947-4572 |
| Practice Telephone | 3028551233 |
| Practice Fax Number | 3028552025 |
| Mailing Telephone | 3028551233 |
| Mailing Fax Number | 3028552025 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. BRIAN S OLSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3028551233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740653922 | La Red Health Center, Inc. | Clinic/Center | 105 N Front St Ste B, Seaford, DE 19973-2707 | 2015-11-10 |
| 1770041493 | La Red Health Center, Inc. | Obstetrics & Gynecology | 105 N Front St, Seaford, DE 19973-2707 | 2019-03-12 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1497071161 | La Red Health Center, Inc. | Clinic/Center | 300 High St, Seaford, DE 19973-3940 | 2010-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA RED HEALTH CENTER, INC. | 21444 Carmean Way, Georgetown, DE 19947-4572 |
| Street Address |
21 W CLARKE AVE STE 1001 |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1073992764 | Optimus Health Care Inc | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2015-05-27 |
| 1912328741 | Middletown Community Health Center, Inc. | Clinic/Center | 221 Broad St, Milford, PA 18337-1355 | 2013-12-20 |
| 1992132682 | Central Virginia Health Services Inc | Clinic/Center | 17202 Richmond Turnpike, Milford, VA 22514 | 2013-09-26 |
| 1992137426 | Edward M. Kennedy Community Health Center, Inc | Clinic/Center | 42 Cape Rd, Milford, MA 01757-3292 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1922535616 | La Red Health Center, Inc | Clinic/Center | 30637 Cedar Neck Road, Ocean View, DE 19970 | 2017-05-12 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1669479929 | Westside Family Healthcare, Inc. | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2005-07-01 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1497071161 | La Red Health Center, Inc. | Clinic/Center | 300 High St, Seaford, DE 19973-3940 | 2010-04-20 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1225163199 | Delmarva Rural Ministries, Inc. | Clinic/Center | 26 Wyoming Ave, Dover, DE 19904-6922 | 2007-02-22 |
| 1801898556 | Westside Family Healthcare, Inc | Clinic/Center | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.