Southern Delaware Surgery Center

LBN: Southern Delaware Surgery Center
Southern Delaware Surgery Center is an health care organization with primary practice located at 18941 John J Williams Hwy , Rehoboth Beach DE 19971-4404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Southern Delaware Surgery Center can be contacted via phone (302) 644-6992, or through Potter, Marti via phone (302) 644-6992.

Contact Information

Primary practice address
18941 John J Williams Hwy Rehoboth Beach DE 19971-4404
Phone: (302) 644-6992
Fax: (302) 644-6995
Website:
Map and Directions
Authorized official contact:
Name: Potter, Marti RN,CNOR,MHCA
Phone: (302) 644-6992

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X FSSC-012 Delaware

Profile Details

NPI number 1295725711
LBN Legal business name Southern Delaware Surgery Center
DBA Doing business as
Authorized official Potter, Marti RN,CNOR,MHCA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295725711 NPPES
Delaware Other 165A61 BLUE CROSS BLUE SHIELD
Delaware MEDICAID 1000034296 BLUE CROSS BLUE SHIELD

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