Healthcare Provider Details

I. General information

NPI: 1205885746
Provider Name (Legal Business Name): GLASGOW MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/02/2025
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GLASGOW AVE STE 226
NEWARK DE
19702-5709
US

IV. Provider business mailing address

2600 GLASGOW AVE STE 226
NEWARK DE
19702-5709
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-3539
  • Fax: 302-355-3972
Mailing address:
  • Phone: 302-836-8350
  • Fax: 302-355-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberFSSC 003
License Number StateDE

VIII. Authorized Official

Name: PAMELA BOYD
Title or Position: DIRECTOR OF NURSING
Credential: MSN RN
Phone: 302-836-3539