Provider Demographics
NPI:1134827587
Name:PACE COMMUNITY MEDICAL HEALTHCARE CENTER
Entity type:Organization
Organization Name:PACE COMMUNITY MEDICAL HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOMEAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-670-7374
Mailing Address - Street 1:910 S CHAPEL ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-3469
Mailing Address - Country:US
Mailing Address - Phone:302-722-6821
Mailing Address - Fax:302-722-9021
Practice Address - Street 1:910 S CHAPEL ST STE 202
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-3469
Practice Address - Country:US
Practice Address - Phone:302-380-5033
Practice Address - Fax:302-722-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care