Healthcare Provider Details

I. General information

NPI: 1891040820
Provider Name (Legal Business Name): BEEBE PHYSICIANS NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 KINGS HWY
LEWES DE
19958-1735
US

IV. Provider business mailing address

1515 SAVANNAH RD STE 200
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-2946
  • Fax: 833-437-1401
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICKY CARD
Title or Position: OFFICE MANAGER
Credential: CREDENTIALING
Phone: 302-645-3499