Kent Epsdt

LBN: State Of Delaware
Kent Epsdt is an health care organization with primary practice located at 417 Federal St , Dover DE 19901-3635. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. State Of Delaware can be contacted via phone (302) 744-4548, or through Rattay, Karyl via phone (302) 744-4700.

Contact Information

Primary practice address
417 Federal St Dover DE 19901-3635
Phone: (302) 744-4548
Fax: (302) 739-1613
Website:
Map and Directions
Authorized official contact:
Name: Rattay, Karyl Doctor of Medicine (MD)
Phone: (302) 744-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1013082171
LBN Legal business name State Of Delaware
DBA Doing business as Kent Epsdt
Authorized official Rattay, Karyl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Dec 6th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013082171 NPPES
Delaware MEDICAID 0000121149

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