1467505073 NPI number — THE NEMOURS FOUNDATION

Table of content: (NPI 1467505073)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467505073 NPI number — THE NEMOURS FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE NEMOURS FOUNDATION
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:
NEMOURS CHILDREN'S HOSPITAL, DELAWARE
Provider Other Organization Name Type Code:
5
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:
1467505073
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 404016
Provider Second Line Business Mailing Address:
C/O MANAGED CARE
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30384-4016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-390-3610
Provider Business Mailing Address Fax Number:
904-288-5630

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 ROCKLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19803-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-651-4000
Provider Business Practice Location Address Fax Number:
302-651-4945
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCKENDREE
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
VP, FINANCE
Authorized Official Telephone Number:
904-697-5628

Provider Taxonomy Codes

  • Taxonomy code: 281PC2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NC2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 341600000X , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 000537407 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000032006 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000031905 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000935005 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110652300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com