Organization
CHRISTIANA CARE HEALTH SERVICES, INC
Active
Parent organization
CHRISTIANA CARE HEALTH SERVICES, INC
Other names
CCHS Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIANA CARE HEALTH SERVICES, INC
Authorized official
ROBERT W MCMURRAY JR. (CFO)
(302) 428-2522
Entity
Organization
Contact information
Practice address
1401 FOULK RD, SUITE 100B, WILMINGTON, DE 19803-2763
(302) 477-3300
(302) 477-3168
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619951068
—
DE
Enumeration date
11/30/2005
Last updated
12/17/2021
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