CCHS PMRI – NPI #1770568107
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

CCHS PMRI is a provider located in WILMINGTON, DE. NPPES has assigned the NPI number 1770568107 to CCHS PMRI on December 08, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCHS PMRI” is a dba name, the actual legal business name for this organization is CHRISTIANA CARE HEALTH SERVICES, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on Dec 17, 2021. 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 CCHS PMRI below.

NPI Profile for
CHRISTIANA CARE HEALTH SERVICES, INC

NPI Number
1770568107
Enumeration Date

(more than 20 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
CHRISTIANA CARE HEALTH SERVICES, INC
Doing Business As (dba): CCHS PMRI
Primary location
3506 KENNETT PIKE
PMRI
WILMINGTON, DE 19807-3019
Phone: (302) 661-3000 Fax: (302) 661-3470
Mailing address
PO BOX 30170
WILMINGTON, DE 19805-7170
Phone: (302) 623-7019 Fax: (302) 623-7009
Organization Subpart
Yes - CCHS PMRI is subpart of another organization.
Authorized Official
ROBERT MCMURRAY
CFO
Phone: (302) 428-2522
Updated
Certification Date
Dec 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CCHS PMRI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE1770568107
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
363L00000X
- Nurse Practitioner
133V00000X
- Dietitian, Registered

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.