# CHRISTIANA CARE HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIANA CARE HEALTH SERVICES INC
- **Other names:** CCHS Virtual Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336624071
- **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:** 501 W 14TH ST, WILMINGTON, DE 19801-1013
- **Practice address phone:** (302) 428-4941
- **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 |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/28/2018
- **Last updated:** 09/28/2018