Organization Name: | CHS HEALTH SERVICES, LLC |
NPI Number: | 1326482647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART CLARK (EXECUTIVE VP) |
Mailing Address: | 587 Old Baltimore Pike Building 1, First Floor Newark |
State: | DE US |
Postal Code: | 197021307 |
Phone Number: | 3022864011 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |