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Christiana Care Health Services Inc

Organization Active NPI Dentist · Wilmington, DE

NPI 1659629988 · NPPES record last updated Dec 17, 2021

Key facts

NPI
1659629988
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Practice address
501 W 14TH St
Hospital Dentistry, Wilmington Hospital
Wilmington, DE 19801-1013
Phone
(302) 428-4850
NPI assigned
Aug 16, 2012
Organization subpart
Yes
Parent organization (as reported)
CHRISTIANA CARE HEALTH SERVICES INC

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 428-2522

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,481

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

View all 1,481

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Union Hospital of Cecil County
Elkton, MD · CCN 210032		 Hospital 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (100%)		 Jan 1, 2020
Jan 1, 2020
Christianacare Hospital, West Grove
West Grove, PA · CCN 390431		 Hospital 5% Or Greater Indirect Ownership Interest (51%) Oct 9, 2023
Christianacare Homehealth
Smyrna, DE · CCN 087301		 Home health agency Operational/Managerial Control (100%) Jul 1, 2021
Christianacare-Accentcare Hospice & Palliative Care of Delaware
Newark, DE · CCN 081508		 Hospice 5% Or Greater Direct Ownership Interest (40%) Jun 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121120000234 DE Part B Supplier - Clinic/Group Practice 9739097569 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

Tax ID family
Christiana Care Ambulance (104 organizations share this tax ID)
Part of
Christiana Care Ambulance

Locations

4755 Ogletown Stanton Rd
Ste 2670
Newark, DE 19718
Phone (302) 584-2601

501 W 14th St
Ste 2W22
Wilmington, DE 19801
Phone (302) 320-4850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 122300000X Yes
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1223S0112X

Addresses

Primary practice location

501 W 14TH St
Hospital Dentistry, Wilmington Hospital
Wilmington, DE 19801-1013

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Phone (302) 623-7362

Other names

  • Christiana Care Dental Clinic Doing business as

Other providers in Wilmington, DE

All providers in Wilmington, DE · Dentist in Delaware

Sources for this page

Verify at the official NPI Registry.