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Contact Information

CHRISTIAN CARE HEALTH SERVICES RIVERSIDE PHCY
501 W 14TH ST
WILMINGTON, DE19801-1013
 Phone: 302-428-2736
 Fax: 302-428-2469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHRISTIAN CARE HEALTH SERVICES RIVERSIDE PHCY

NPI # 1396806162
LBN Legal business name CHRISTIAN CARE HEALTH SERVICES RIVERSIDE PHCY
Authorized official ROBERT THORTON - (PHCY MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
DE License # A60000248
DE Medicaid 0000819907
Other 0803141 OTHER ID NUMBER-COMMERCIAL NUMBER
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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