# BAYHEALTH MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAYHEALTH MEDICAL CENTER, INC
- **Other names:** Bayhealth Family Medicine Dover
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952996563
- **Legal business name:** BAYHEALTH MEDICAL CENTER, INC
- **Authorized official:** MICHAEL TRETINA CPA, FHFMA, FACHE (SENIOR VP/ CFO)
- **Authorized official phone:** (302) 744-7162

## Contact information

- **Practice address:** 1074 S STATE ST, DOVER, DE 19901-6925
- **Practice address phone:** (302) 674-3970
- **Mailing address:** 640 S STATE ST, DOVER, DE 19901-3530
- **Mailing address phone:** (302) 744-6941
- **Mailing address fax:** (302) 744-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 03/05/2021