Beebe Physician Network, Inc.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

Q10001121 Issued in DE

Legal business name

BEEBE PHYSICIAN NETWORK, INC.

Practice address

26026 Patriots Way
Georgetown, DE 19947-2584

Phone

(302) 934-5962

NPI assigned

Jan 12, 2012

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Craft

Title

President and Ceo

Phone

(302) 645-2555

Specialties & licenses 1

Addresses

Tax ID family

Jeffrey Hawtof MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Beebe Physician Network, Inc.

  dba Beebe Sussex Tech Wellness Center

  • Student Health Clinic/Center
  • Georgetown, DE
  • NPI 1003694688
  NPD tax ID
• Beebe Physicians Network, Inc

  dba Beebe Indian River Wellness Beebe Medical Group

  • Student Health Clinic/Center
  • Dagsboro, DE
  • NPI 1174879456
  NPD tax ID
• Beebe Physicians Network, Inc.

  dba Beebe Sussex Central Wellness Center

  • Student Health Clinic/Center
  • Georgetown, DE
  • NPI 1124375241
  NPD tax ID
• Beebe Physicians Network, Inc.

  dba Beebe Cape Henlopen Wellness Center

  • Student Health Clinic/Center
  • Lewes, DE
  • NPI 1891040820
  NPD tax ID
• State of Delaware-Stockley

  • Intellectual Disabilities Intermediate Care Facility
  • Georgetown, DE
  • NPI 1962557561
  NPD tax ID

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1689944258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581499",
            "telephone_number": "302-645-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26026 PATRIOTS WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472584",
            "telephone_number": "302-934-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEBE PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "302-645-2555"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "DE",
            "license": "Q10001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayhealth Medical Center, Inc. (Bayhealth SleepCare Centers Georgetown)
• Tina Charline Baynard
• Beebe Healthcare
• Beebe Healthyback LLC
• Beebe Physician Network, Inc. (Beebe Sussex Tech Wellness Center)
• Beebe Physicians Network, Inc. (Beebe Sussex Central Wellness Center)
• Denese R. Bell, LPCMH
• Richard R Bell II
• Benchmark Physical Therapy of Delaware LLC
• Erin Lawrence Bender, PA

• Community Health Worker in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Community Health Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.