Provider Demographics
NPI:1467546135
Name:BAYHEALTH MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:BAYHEALTH MEDICAL CENTER, INC.
Other - Org Name:BAYHEALTH HOSPITAL, KENT CAMPUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-744-7001
Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-674-4700
Mailing Address - Fax:
Practice Address - Street 1:640 SOUTH STATE STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-674-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEHSPTL-005282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000164805Medicaid
DE000164706Medicaid
080004OtherMEDICARE LEGACY NUMBER
DE390995Medicare PIN
DE165151Medicare PIN
DE165154Medicare PIN
DE165162Medicare PIN
DE091412Medicare PIN
080004OtherMEDICARE LEGACY NUMBER
DE166899Medicare PIN