La Red Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LA RED HEALTH CENTER, INC.

Practice address

26089 Long Neck Road
Millsboro, DE 19966

Phone

(302) 855-1233

Fax

(302) 855-2025

NPI assigned

Aug 24, 2018

Organization subpart

No

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) 855-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1700832185

  O20070306000183

  Same enrollment
• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1811171978

  O20070306000183

  Same enrollment
• La Red Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocean View, DE
  • NPI 1922535616

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1154084002

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1497071161

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1740653922

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milford, DE
  • NPI 1750762126

  O20070306000183

  Same enrollment

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

CLIA laboratory certificates

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1780165175",
    "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": "26089 LONG NECK ROAD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-855-1233",
            "fax_number": "302-855-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RED HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "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": "302-855-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Louis Kragler Sr.
• Jessica Ann Kroboth, DPT
• Abhigna Uday Kumar Kulkarni, MD
• Rebecca Kuns
• Lynae Dawn Kuntz, LPN
• Patricia Labadie
• Robert Laduca, D.C.
• Mandi Lyn Lahman, NP
• Cynthia Lamour, DO
• Melissa Alyanna Gorospe Lasig

• All providers in Millsboro, DE
• Federally Qualified Health Center (FQHC) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.