# CHRISTIANA CARE HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIANA CARE HEALTH SERVICES, INC
- **Other names:** CCHS Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619951068
- **Legal business name:** CHRISTIANA CARE HEALTH SERVICES, INC
- **Authorized official:** ROBERT W MCMURRAY JR. (CFO)
- **Authorized official phone:** (302) 428-2522

## Contact information

- **Practice address:** 1401 FOULK RD, SUITE 100B, WILMINGTON, DE 19803-2763
- **Practice address phone:** (302) 477-3300
- **Practice address fax:** (302) 477-3168
- **Mailing address:** PO BOX 30170, WILMINGTON, DE 19805-7170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 12/17/2021