Newark High Wellness Center

LBN: State Of Delaware
Newark High Wellness Center 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 / Student Health, which is considered as the primary health care specialty. State Of Delaware can be contacted via phone (302) 744-4849, or through Ellis, Herman via phone (302) 744-4700.

Contact Information

Primary practice address
417 Federal St Dover DE 19901-3635
Phone: (302) 744-4849
Fax: (302) 739-6627
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Herman Doctor of Medicine (MD)
Phone: (302) 744-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1780752196
LBN Legal business name State Of Delaware
DBA Doing business as Newark High Wellness Center
Authorized official Ellis, Herman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1780752196 NPPES
Delaware MEDICAID 1000013820

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