1316973704 NPI number — HHC DELAWARE INC

Table of content: (NPI 1316973704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316973704 NPI number — HHC DELAWARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HHC DELAWARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MEADOWWOOD BEHAVIORAL HEALTH SYSTEM
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316973704
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 S DUPONT HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-4606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-328-3330
Provider Business Mailing Address Fax Number:
302-328-9336

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 S DUPONT HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19720-4606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-328-3330
Provider Business Practice Location Address Fax Number:
302-328-9336
Provider Enumeration Date:
06/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MASON
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO /ADMINISTRATOR
Authorized Official Telephone Number:
302-328-3330

Provider Taxonomy Codes

  • Taxonomy code: 276400000X , with the licence number:  2006201749 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 283Q00000X , with the licence number: 2006201749 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 084003001 . This is a "MEDICARE PART A" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1000040359 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: G02304 . This is a "MEDICARE PART B" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com