Christiana Care Health Services Inc
Organization Active NPI Nurse Practitioner · Newark, DE
NPI 1295021145 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1295021145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- CHRISTIANA CARE HEALTH SERVICES INC
- Practice address
- 190 Salem Church Rd
Christiana High School
Newark, DE 19713-2938 - Phone
- (302) 454-5421
- NPI assigned
- Jun 20, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- CHRISTIANA CARE HEALTH SERVICES INC
Authorized official
- Name
- Thomas L Corrigan
- Title
- Cfo
- Phone
- (302) 623-7203
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Christiana Care Ambulance
- Part of
- Christiana Care Ambulance
Locations
200 Hygeia Dr
Ste 2502
Newark, DE 19713
Phone (302) 623-7362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| School Social Worker |
1041S0200X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
190 Salem Church Rd
Christiana High School
Newark, DE 19713-2938
Mailing address
200 Hygeia Dr
Suite 2502
Newark, DE 19713-2049
Phone (302) 623-7362
Other names
- CCHS Wellness Ctr Chrisitana High School
NPI Registry JSON
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308528000000",
"number": "1295021145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"address_2": "SUITE 2502",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "302-623-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 SALEM CHURCH RD",
"address_2": "CHRISTIANA HIGH SCHOOL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132938",
"telephone_number": "302-454-5421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIANA CARE HEALTH SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES INC",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A",
"authorized_official_last_name": "CORRIGAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "302-623-7203"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CCHS Wellness Ctr Chrisitana High School",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, DE
- Christiana Care Health Services Inc
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- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
All providers in Newark, DE · Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.