LA RED HEALTH CENTER, INC. (NPI# 1497071161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497071161 |
| Entity Type | Organization |
| Organization Name | LA RED HEALTH CENTER, INC. |
| Practice Address |
300 High St Seaford DE 19973-3940 |
| Mailing Address |
21444 Carmean Way Georgetown DE 19947-4572 |
| Practice Telephone | 3028551233 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | BRIAN OLSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3028552020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1497071161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740653922 | La Red Health Center, Inc. | Clinic/Center | 105 N Front St Ste B, Seaford, DE 19973-2707 | 2015-11-10 |
| 1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
| 1770041493 | La Red Health Center, Inc. | Obstetrics & Gynecology | 105 N Front St, Seaford, DE 19973-2707 | 2019-03-12 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA RED HEALTH CENTER, INC. | 21444 Carmean Way, Georgetown, DE 19947-4572 |
| Street Address |
300 HIGH ST |
| City | SEAFORD |
| State | DE |
| Zip Code | 19973-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1215477997 | Ekta Sharma | Physical Therapist | 715 King Street, Lofland Park Center, Seaford, DE 19973 | 2017-03-01 |
| 1497126981 | Christopher M. Heisey | Podiatrist | 543 N Shipley St Ste C, Seaford, DE 19973 | 2015-10-09 |
| 1083035026 | Angela Childs | Radiologic Technologist | 801 Road 535, Seaford, DE 19973 | 2013-12-18 |
| 1831531375 | Jennifer Willis-lal | Physical Therapist | 28091 Barley Run, Seaford, DE 19973 | 2013-07-25 |
| 1972820017 | Pain Treatment and Anesthesia Management Services, LLC | Pain Medicine | 400 Health Services Dr Ste 401, Seaford, DE 19973 | 2010-04-29 |
| 1275737652 | Ronald Concha Parra | Internal Medicine | 701 Middleford Road, Seaford, DE 19973 | 2007-06-12 |
| 1013034172 | Jiloca Dejesus Jiloca Mdpa | Family Medicine | 105 A Front Street, Seaford, DE 19973 | 2007-03-23 |
| 1922122043 | Carla K. Linder | Counselor | 109 Rivers End Dr., Seaford, DE 19973 | 2007-03-16 |
| 1558494385 | Edwin J Juste | Chiropractor | 608 North Porter Street, Seaford, DE 19973 | 2007-03-13 |
| Find all providers in zip 19973 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1922535616 | La Red Health Center, Inc | Clinic/Center | 30637 Cedar Neck Road, Ocean View, DE 19970 | 2017-05-12 |
| 1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1669479929 | Westside Family Healthcare, Inc. | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2005-07-01 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1225163199 | Delmarva Rural Ministries, Inc. | Clinic/Center | 26 Wyoming Ave, Dover, DE 19904-6922 | 2007-02-22 |
| 1801898556 | Westside Family Healthcare, Inc | Clinic/Center | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.