Healthcare Provider Details

I. General information

NPI: 1780547190
Provider Name (Legal Business Name): HERALD MEDICAL SERVICES WEST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N WEST ST STE 1200
WILMINGTON DE
19801-1058
US

IV. Provider business mailing address

1000 N WEST ST STE 1200
WILMINGTON DE
19801-1058
US

V. Phone/Fax

Practice location:
  • Phone: 833-588-7197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH RICE
Title or Position: OPERATIONS ADMINISTRATOR
Credential:
Phone: 833-588-7197