Organization
BEEBE PHYSICIANS NETWORK, INC
Active
Parent organization
BEEBE PHYSICIAN NETWORK, INC.
Other names
Beebe Indian River Wellness Beebe Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEEBE PHYSICIAN NETWORK, INC.
Authorized official
MISS ROBERTA A THOMAS (ADM. SECRETARY III)
(302) 645-3555
Entity
Organization
Contact information
Practice address
29772 ARMORY ROAD, DAGSBORO, DE 19939-4354
(302) 732-3680
(302) 732-3685
Mailing address
33663 BAYVIEW MEDICAL DRIVE, UNIT 1, LEWES, DE 19958
(302) 645-3555
(302) 644-3560
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
DE
Enumeration date
07/24/2012
Last updated
02/11/2016
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