STATE OF DELAWARE; NPI #1114512068

Contact Information

STATE OF DELAWARE

660 BAYLOR BLVD
NEW CASTLE, DE 19720-1140

Phone: 302-577-3004
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for STATE OF DELAWARE

NPI Number	`1114512068`
LBN Legal business name	STATE OF DELAWARE
Authorized official	AWELE MADUKA-EZEH - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/03/2021
Last updated	03/03/2021 - About 5 years ago
Identifiers	n/a

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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