Healthcare Provider Details

I. General information

NPI: 1326463167
Provider Name (Legal Business Name): BAYHEALTH MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1078 S STATE ST SUITE 3
DOVER DE
19901
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-0643
  • Fax: 302-674-0645
Mailing address:
  • Phone: 302-674-0643
  • Fax: 302-674-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TRETINA
Title or Position: CFO
Credential:
Phone: 302-744-7162