Healthcare Provider Details

I. General information

NPI: 1992892848
Provider Name (Legal Business Name): BAYHEALTH MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 HORSEPOND ROAD
DOVER DE
19901
US

IV. Provider business mailing address

725 HORSEPOND ROAD
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-6688
  • Fax: 302-735-3856
Mailing address:
  • Phone: 302-744-6688
  • Fax: 302-735-3856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: AMY MCCARTAN
Title or Position: EXECUTIVE DIRECTOR, CONTRACTING
Credential:
Phone: 302-744-6833