HEALTHY AGING CLINIC – NPI #1104171206
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

HEALTHY AGING CLINIC is a provider located in MILFORD, DE. NPPES has assigned the NPI number 1104171206 to HEALTHY AGING CLINIC on July 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

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 HEALTHY AGING CLINIC below.

NPI Profile for
HEALTHY AGING CLINIC

NPI Number
1104171206
Enumeration Date

(about 14 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
HEALTHY AGING CLINIC
Primary location
1014 NORTH WALNUT STREET
MILFORD, DE 19963-1244
Phone: (302) 422-5700 Fax: (302) 424-8018
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EUGENE GODFREY
PHYSICIAN
Phone: (302) 422-5700
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
207QA0505X
- Family Medicine / Adult Medicine (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.