LIFE HEALTH @ SOUTHERN – NPI #1275014367
Clinic/Center

LIFE HEALTH @ SOUTHERN is an AHC clinic located in NEW CASTLE, DE. NPPES has assigned the NPI number 1275014367 to LIFE HEALTH @ SOUTHERN on August 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIFE HEALTH @ SOUTHERN” is a dba name, the actual legal business name for this organization is THE LIFE CENTER COMPLEX, INC.. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 8 years ago on Aug 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE HEALTH @ SOUTHERN below.

NPI Profile for
THE LIFE CENTER COMPLEX, INC.

NPI Number
1275014367
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE LIFE CENTER COMPLEX, INC.
Doing Business As (dba): LIFE HEALTH @ SOUTHERN
Other name(s)
All associated names:
Doing Business As (dba)
LIFE HEALTH @ SOUTHERN
Doing Business As (dba)
The Life Health Center
Primary location
795 COX NECK RD
NEW CASTLE, DE 19720
Phone: (302) 552-3574 Fax: (302) 552-3561
Mailing address
222 PHILADELPHIA PIKE STE 13
WILMINGTON, DE 19809-3166
Phone: 0255235743 Fax:
Organization Subpart
Yes - LIFE HEALTH @ SOUTHERN is subpart of another organization.
Authorized Official
FORREST WATSON
CEO
Phone: (302) 552-3574
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.