=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811544174
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREENHILL HEALTH CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2019
-----------------------------------------------------
Last Update Date | 11/25/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 W 4TH ST STE 1A
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19805-3367
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-274-0020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 30153
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19805-7153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-274-0020
-----------------------------------------------------
Fax | 302-274-0021
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | JAY C PATEL
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 302-274-0020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------