Provider Demographics
| NPI: | 1306273255 |
|---|---|
| Name: | CHRISTIANA CARE HEALTH SERVICES INC |
| Entity type: | Organization |
| Organization Name: | CHRISTIANA CARE HEALTH SERVICES INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ROBERT |
| Authorized Official - Middle Name: | W |
| Authorized Official - Last Name: | MCMURRAY |
| Authorized Official - Suffix: | JR |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 302-428-2522 |
| Mailing Address - Street 1: | 200 HYGEIA DR |
| Mailing Address - Street 2: | SUITE 2300 - PHYSICIAN CONTRACTING |
| Mailing Address - City: | NEWARK |
| Mailing Address - State: | DE |
| Mailing Address - Zip Code: | 19713-2049 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 302-623-7362 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 161 WILMINGTON W CHESTER PIKE |
| Practice Address - Street 2: | CHRISTIANA CARE CONCORD HEALTH CENTER |
| Practice Address - City: | CHADDS FORD |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19317-9041 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 302-733-1000 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | CHRISTIANA CARE HEALTH SERVICES INC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2013-10-08 |
| Last Update Date: | 2021-12-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Multi-Specialty | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
| No | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | Group - Multi-Specialty |
| No | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Multi-Specialty |
| No | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | Group - Multi-Specialty | |
| No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | Group - Multi-Specialty |
| No | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | Group - Multi-Specialty |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
| No | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | Group - Multi-Specialty |