State of Delaware

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

STATE OF DELAWARE

Practice address

417 Federal St
Dover, DE 19901-3635

Phone

(302) 744-4849

Fax

(302) 739-6627

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Herman Ellis, MD

Title

Medical Director

Phone

(302) 744-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Howard Wellness Center Other name

Tax ID family

DVH Dental Suite131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Bryan Allen Stevenson School of Excellence

  • Local Education Agency (LEA)
  • Georgetown, DE
  • NPI 1952122566
  NPD tax ID
• Delaware Division of Substance Abuse and Mental Health

  • Dental Clinic/Center
  • New Castle, DE
  • NPI 1942168737
  NPD tax ID
• DPC

  • Psychiatric Hospital
  • New Castle, DE
  • NPI 1942676291
  NPD tax ID
• State of Delaware

  • Local Education Agency (LEA)
  • Wilmington, DE
  • NPI 1861528648
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1871669457
  NPD tax ID
• State of Delaware

  • Local Education Agency (LEA)
  • Clayton, DE
  • NPI 1881738599
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1881760783
  NPD tax ID
• State of Delaware

  • Student Health Clinic/Center
  • Dover, DE
  • NPI 1881762292
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1881766681
  NPD tax ID
• State of Delaware

  • Student Health Clinic/Center
  • Dover, DE
  • NPI 1891854402
  NPD tax ID
• State of Delaware

  • Local Education Agency (LEA)
  • Wilmington, DE
  • NPI 1912041880
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1912086174
  NPD tax ID

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932277340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4849",
            "fax_number": "302-739-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4849",
            "fax_number": "302-739-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-744-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000013824",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware Department of Public Heath Access Program Telehealth
• State School Based Transportation
• State Senior Care, LLC

• Student Health Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Student Health Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.