| NPI | 1023732203 |
|---|---|
| Doing Business As | CCHS MY65 OFFICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-623-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |