Provider Demographics
NPI:1013095249
Name:CHRISTIANA CARE HEALTH INITIATIVES
Entity Type:Organization
Organization Name:CHRISTIANA CARE HEALTH INITIATIVES
Other - Org Name:MEDICAL AID UNIT AT SMYRNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE BUSINESS DEVELO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:RICHICHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-623-7421
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-7421
Mailing Address - Fax:302-623-7425
Practice Address - Street 1:100 MAIN STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1433
Practice Address - Country:US
Practice Address - Phone:302-623-7421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1588643506Medicare PIN
DE1306825419Medicare PIN
DE1134194038Medicare PIN
DE1679632558Medicare PIN