Healthcare Provider Details

I. General information

NPI: 1720834708
Provider Name (Legal Business Name): UHS OF ROCKFORD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROCKFORD DR
NEWARK DE
19713-2120
US

IV. Provider business mailing address

100 ROCKFORD DR
NEWARK DE
19713-2120
US

V. Phone/Fax

Practice location:
  • Phone: 302-996-5480
  • Fax:
Mailing address:
  • Phone: 302-996-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-768-3300