Healthcare Provider Details

I. General information

NPI: 1922058445
Provider Name (Legal Business Name): GLASGOW MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GLASGOW AVE SUITE 100
NEWARK DE
19702-4777
US

IV. Provider business mailing address

2600 GLASGOW AVE SUITE 204
NEWARK DE
19702-4777
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-8350
  • Fax: 302-836-1906
Mailing address:
  • Phone: 302-836-8350
  • Fax: 302-836-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR C KRETZ IV
Title or Position: C.O.O.
Credential:
Phone: 302-836-8350