State Of Delaware
Clinic/Center, Public Health, State or Local in Dover, DE. Organization (NPI-2).
NPI number1295801769
StatusActive
Last updated in NPPESDec 6, 2011
Details
- NPI
- 1295801769
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Delaware
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Dec 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP0905X | Clinic/Center, Public Health, State or Local | – | – | Yes |
Other names
- Seaford Epsdt (Other Name)
Practice location
417 Federal StDover, DE 19901-3635
Phone 302-744-4548 · Fax 302-739-1613
Mailing address
417 Federal StDover, DE 19901-3635
Phone 302-744-4548 · Fax 302-739-1613
Authorized official
Karyl Rattay
Director
3027444700
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All 36 State or Local Public Health Clinic/Center providers in Dover · All 3,119 providers in Dover
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