Provider Demographics
NPI:1992892848
Name:BAYHEALTH MEDICAL CENTER
Entity type:Organization
Organization Name:BAYHEALTH MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-744-6833
Mailing Address - Street 1:725 HORSEPOND ROAD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901
Mailing Address - Country:US
Mailing Address - Phone:302-744-6688
Mailing Address - Fax:302-735-3856
Practice Address - Street 1:725 HORSEPOND ROAD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-744-6688
Practice Address - Fax:302-735-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
08S004Medicare ID - Type Unspecified