LA RED HEALTH CENTER, INC (NPI# 1922535616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922535616 |
Entity Type | Organization |
Organization Name | LA RED HEALTH CENTER, INC |
Practice Address |
30637 Cedar Neck Road Ocean View DE 19970 |
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 | 2017-05-12 |
Last Update Date | 2017-05-12 |
Authorized Official Name | MR. BRIAN S OLSON (CEO) |
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 |
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 |
30637 CEDAR NECK ROAD |
City | OCEAN VIEW |
State | DE |
Zip Code | 19970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528504677 | Diana Gertrud Heath | Counselor | 31312 Pine Place, Ocean View, DE 19970 | 2017-01-12 |
1205271962 | Cindy A Fajardo | Physical Therapist | 29 N Atlantic Avenue, Ocean View, DE 19970 | 2013-05-07 |
1538260302 | Dominique Renee Dushuttle | Physical Therapist | 118 Atlantic Ave Suite 302, Oceanview, DE 19970 | 2006-09-26 |
1205851409 | Daryl James Barthelmess | Physical Therapist | 29 N Atlantic Ave, Ocean View, DE 19970 | 2006-07-12 |
1942839360 | Nicholas Bollinger | Speech-Language Pathologist | 30072 Jump Ln, Ocean View, DE 19970-2786 | 2020-04-07 |
1154773018 | Amy Griffin | Registered Nurse | 29 Brighton St, Ocean View, DE 19970-3223 | 2016-07-04 |
1558750786 | Leah Smith | Registered Nurse | 37125 Lord Baltimore Ln, Ocean View, DE 19970-3242 | 2015-01-12 |
1700274958 | Amy Linzey | Registered Nurse | 38241 Yacht Basin Rd Unit 9, Ocean View, DE 19970-3366 | 2014-12-22 |
1164081485 | Larry Matthew Hutchins | Counselor | 36582 Dover St, Ocean View, DE 19970-3435 | 2019-06-11 |
1710269311 | Thomas John Bonk | Pharmacist | 34960 Atlantic Ave Unit 2, Clarksville, DE 19970-3524 | 2011-09-09 |
Find all providers in zip 19970 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
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 |
City | OCEAN VIEW |
Zip Code | 19970 |
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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.