Crestview Medical Center P A

LBN: Crestview Medical Center P A
Crestview Medical Center P A is an health care organization with primary practice located at 1800 N Broom St Suite 109, Wilmington DE 19802-3809. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Crestview Medical Center P A can be contacted via phone (302) 762-4545, or through Ogunwande, Clement A. via phone (302) 762-4545.

Contact Information

Primary practice address
1800 N Broom St Suite 109 Wilmington DE 19802-3809
Fax: (302) 762-9086
Website:
Authorized official contact:
Name: Ogunwande, Clement A. Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X C2-0004996 Delaware

Profile Details

NPI number 1023147493
LBN Legal business name Crestview Medical Center P A
DBA Doing business as
Authorized official Ogunwande, Clement A. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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