# CHRISTIANA CARE HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIANA CARE HEALTH SERVICES INC
- **Other names:** CCHS Primary Care MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316570575
- **Legal business name:** CHRISTIANA CARE HEALTH SERVICES INC
- **Authorized official:** PATRICIA D WATSON (CORPORATE DIRECTOR OF PFS)
- **Authorized official phone:** (302) 623-7168

## Contact information

- **Practice address:** 126A E HIGH ST, ELKTON, MD 21921-5638
- **Practice address phone:** (410) 398-8300
- **Mailing address:** 200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 02/17/2020