Organization
LA RED HEALTH CENTER INC
Active
Organization
LA RED HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT OLSON MBA (CHIEF EXECUTIVE OFFICER)
(302) 855-2020
Entity
Organization
Contact information
Practice address
21444 CARMEAN WAY, GEORGETOWN, DE 19947-4572
(302) 855-1233
(302) 855-1020
Mailing address
21444 CARMEAN WAY, GEORGETOWN, DE 19947-4572
(302) 855-1233
(302) 855-2025
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021647
—
DE
Enumeration date
05/26/2006
Last updated
09/19/2016
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