Healthcare Provider Details

I. General information

NPI: 1497178214
Provider Name (Legal Business Name): BAYHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 S GOVERNORS AVE
DOVER DE
19904-3523
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7135
  • Fax: 302-730-3047
Mailing address:
  • Phone: 302-744-7135
  • Fax: 302-730-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberL1-0017601
License Number StateDE

VIII. Authorized Official

Name: MRS. ELIZABETH LYNN HUGHEY
Title or Position: CLINICAL NURSE EDUCATOR
Credential: BSN, RN
Phone: 302-744-6997