LA RED HEALTH CENTER INC; NPI #1811171978

Contact Information

LA RED HEALTH CENTER INC

21444 CARMEAN WAY
GEORGETOWN, DE 19947-4572

Phone: 302-855-1233
Fax: 302-855-1020
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for LA RED HEALTH CENTER INC

NPI Number 1811171978

LBN Legal business name LA RED HEALTH CENTER INC

Authorized official BRIAN OLSON - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/26/2007

Last updated 11/15/2013 - About 13 years ago

Identifiers

Medicaid

11811171978

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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