Provider Demographics
NPI:1003694688
Name:BEEBE PHYSICIAN NETWORK, INC.
Entity Type:Organization
Organization Name:BEEBE PHYSICIAN NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE INTEGRITY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LODGE IEPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-645-3972
Mailing Address - Street 1:1515 SAVANNAH RD FL 2
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3972
Mailing Address - Fax:302-644-9715
Practice Address - Street 1:17099 COUNTY SEAT HWY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4865
Practice Address - Country:US
Practice Address - Phone:302-856-4360
Practice Address - Fax:302-856-6359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEEBE MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health