Healthcare Provider Details

I. General information

NPI: 1720182835
Provider Name (Legal Business Name): LIMESTONE MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD STE 113
WILMINGTON DE
19808-5413
US

IV. Provider business mailing address

PO BOX 5030
WILMINGTON DE
19808-0030
US

V. Phone/Fax

Practice location:
  • Phone: 302-992-9831
  • Fax: 302-992-0563
Mailing address:
  • Phone: 302-992-0824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberFSSC001
License Number StateDE

VIII. Authorized Official

Name: JILL JARBOE
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 302-992-0824