Active NPI
La Red Health Center, Inc.
Doing business as Seaford GYN Associates
- Federally Qualified Health Center (FQHC)
- Seaford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LA RED HEALTH CENTER, INC.
- Doing business as
- Seaford GYN Associates
- Practice address
- 105 N Front St Ste B
Seaford, DE 19973-2707 - Phone
- (302) 855-1233
- Fax
- (302) 855-2025
- NPI assigned
- Nov 10, 2015
- Last updated
- Apr 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian S Olson
- Title
- Ceo
- Phone
- (302) 855-1233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
105 N Front St Ste B
Seaford, DE 19973-2707
Mailing address
21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233
Other names 1
- Seaford GYN Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070306000183 | DE | Part B Supplier - Clinic/Group Practice | 4789668815 |
Receives reassigned benefits from 32 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Georgetown, DE; Seaford, DE; Milford, DE |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Georgetown, DE
- NPI 1700832185
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Georgetown, DE
- NPI 1811171978
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Ocean View, DE
- NPI 1922535616
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Georgetown, DE
- NPI 1154084002
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Seaford, DE
- NPI 1497071161
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Milford, DE
- NPI 1750762126
O20070306000183
-
- Federally Qualified Health Center (FQHC)
- Millsboro, DE
- NPI 1780165175
O20070306000183
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Georgetown, DE
- NPI 1154084002
Member Of
Locations
105 N Front St
#B
Seaford, DE 19973
Phone (302) 629-2434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Georgetown, DE
- NPI 1548464944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461542400000",
"number": "1740653922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21444 CARMEAN WAY",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199474572",
"telephone_number": "302-855-1233",
"fax_number": "302-855-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N FRONT ST STE B",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199732707",
"telephone_number": "302-855-1233",
"fax_number": "302-855-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA RED HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-10",
"last_updated": "2016-04-25",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "302-855-1233",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seaford GYN Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.