Organization Active NPI

Peninsula Regional Medical Center

  • General Acute Care Hospital
  • Millsboro, DE
National Provider Identifier
1861836330
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
22-003 Issued in MD
Legal business name
PENINSULA REGIONAL MEDICAL CENTER
Practice address
30265 Commerce Dr
Delmarva Health Pavilion
Millsboro, DE 19966-3593
Phone
(410) 543-7437
Fax
(410) 543-7020
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Mr. Jeff R. Karns, CPAM
Title
Exec.Dir. Patient Financial SVCS.
Phone
(410) 543-7437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 22-003 MD Primary

Addresses

Primary practice location

30265 Commerce Dr
Delmarva Health Pavilion
Millsboro, DE 19966-3593

Mailing address

100 E Carroll St
Patient Accounts
Salisbury, MD 21801-5422
Phone (410) 546-4600

Other names 1

  • Peninsula General Hospital Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Regional Medical Center33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 1

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": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1861836330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "address_2": "PATIENT ACCOUNTS",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-4600",
            "fax_number": "410-543-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "address_2": "DELMARVA HEALTH PAVILION",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593",
            "telephone_number": "410-543-7437",
            "fax_number": "410-543-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "KARNS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXEC.DIR. PATIENT FINANCIAL SVCS.",
        "authorized_official_telephone_number": "410-543-7437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPAM"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "22-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula General Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.