Healthcare Provider Details

I. General information

NPI: 1467546135
Provider Name (Legal Business Name): BAYHEALTH MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 SOUTH STATE STREET
DOVER DE
19901
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4700
  • Fax:
Mailing address:
  • Phone: 302-674-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHSPTL-005
License Number StateDE

VIII. Authorized Official

Name: TERRY M MURPHY
Title or Position: PRESIDENT-CEO
Credential:
Phone: 302-744-7001