Organization Active NPI

Harrison Family Practice Inc

  • Health Service Clinic/Center
  • Bridgeville, DE
National Provider Identifier
1366920746
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HARRISON FAMILY PRACTICE INC
Practice address
18119 Sussex Hwy Unit 1
Bridgeville, DE 19933-4095
Phone
(302) 228-5128
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Robert Harrison
Title
Manager
Phone
(302) 462-1365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

18119 Sussex Hwy Unit 1
Bridgeville, DE 19933-4095

Mailing address

16812 Oak Rd
Bridgeville, DE 19933-3980
Phone (302) 228-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180920001423 DE Part B Supplier - Clinic/Group Practice 1658622246 Receives reassigned benefits from 2 practitioners
Practice locations: Bridgeville, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2165580Harrison Family Practice18119 Sussex Hwy Unit 1, Bridgeville, DE 19933Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1366920746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16812 OAK RD",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199333980",
            "telephone_number": "302-228-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18119 SUSSEX HWY UNIT 1",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199334095",
            "telephone_number": "302-228-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-462-1365"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.