MEDICARE: BEEBE MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HHAS-002	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063513075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEEBE MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	232 MITCHELL ST UNIT 200
Second Line	:
City	:	MILLSBORO
State	:	DE
Zip	:	19966-9412
Country	:	US
Telephone Number	:	302-934-5830
Fax Number	:	302-934-5835

Provider Business Practice Location Address
First Line	:	232 MITCHELL ST UNIT 200
Second Line	:
City	:	MILLSBORO
State	:	DE
Zip	:	19966-9412
Country	:	US
Telephone Number	:	302-934-5830
Fax Number	:	302-934-5835

Authorized Official
Title or Position	:	SVP AND CHIEF FINANCIAL OFFICER
Name	:	MR. RYAN KENNEDY
Credential	:
Telephone Number	:	302-645-3300

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	10/03/2024

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