NPIMap

Organization Active NPI

La Red Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocean View, DE
National Provider Identifier
1922535616
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA RED HEALTH CENTER, INC
Practice address
30637 Cedar Neck Road
Ocean View, DE 19970
Phone
(302) 855-1233
Fax
(302) 855-2025
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

30637 Cedar Neck Road
Ocean View, DE 19970

Mailing address

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922535616. Details of each certification follow.

  • CCN 081818 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 081818

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LA RED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 23, 2017
Last certification
Jun 23, 2017
Ownership / control type
For profit – corporation
Facility address
30637 Cedar Neck Road
Ocean View, DE 19970

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2131134La Red Health Center, Inc30637 Cedar Neck Road, Ocean View, DE 19970Provider-performed microscopyMay 22, 2027

National Provider Directory

National Provider Directory

Locations

17099 County Seat Hwy
Georgetown, DE 19947
Phone (302) 271-2522

504 W Market St
Georgetown, DE 19947
Phone (302) 855-0558

505 W Market St
#A
Georgetown, DE 19947

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1922535616",
    "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": "30637 CEDAR NECK ROAD",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "19970",
            "telephone_number": "302-855-1233",
            "fax_number": "302-855-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RED HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean View, DE

Sources for this page

Verify at the official NPI Registry.