Organization
CHRISTIANA CARE HEALTH SERVICES INC
Active
Other names
CCHS SHORT PROCEDURE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B ELLIS JR. (VP OF FINANCE)
(302) 623-7202
Entity
Organization
Contact information
Practice address
501 W 14TH ST, WILMINGTON HOSPITAL, WILMINGTON, DE 19801-1013
(302) 733-1000
Mailing address
200 HYGEIA DRIVE, CCHS INC.,, SUITE 2502 PHYSICIAN CONTRACTING, NEWARK, DE 19713
(302) 623-7362
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DPW 1007565080032
PA MEDICAID
PA
Enumeration date
04/06/2007
Last updated
08/22/2020
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