GREENVILLE AS, LLC NPI 1528454683

Clinic/Center (Medical Specialty) in Wilmington, DE

About GREENVILLE AS, LLC

Greenville As, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1528454683. The practitioner's primary taxonomy code is Clinic/Center (261QM2500X). The provider is registered as an organization and their NPI record was last updated 4 years ago.

NPI

1528454683

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameGREENVILLE AS, LLC
Provider Location Address3801 KENNETT PIKE E126 WILMINGTON, DE 19807 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1000 FIRST AVE STE 100 KING OF PRUSSIA, PA 19406 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-15-2015 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-15-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QM2500X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMedical Specialty
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Business Address

GREENVILLE AS, LLC
3801 KENNETT PIKE
E126
WILMINGTON, DE
ZIP 19807
Phone: (610) 337-7662

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Mailing Address

GREENVILLE AS, LLC
1000 FIRST AVE
STE 100
KING OF PRUSSIA, PA
ZIP 19406
Phone: (610) 337-7662

Authorized Official

Authorized Official Name KEVIN CAMPBELL Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(610) 337-7662

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437291077DR. H DEAN MCSPADDEN DDS
Individual
Dentist3801 KENNETT PIKE C100
GREENVILLE, DE 19807
(302) 656-8219
1518378660FOOT AND ANKLE ASSOCIATES LLP
Organization
Podiatrist3801 KENNETT PIKE STE A102
WILMINGTON, DE 19807
(302) 652-5767
1740213024DR. VICTOR M NIPPERT DPM
Individual
Podiatrist3801 KENNETT PIKE SUITE A-102
WILMINGTON, DE 19807
(302) 652-5767
1942361092DR. MARK A FORTUNATO DDS
Individual
Dentist3801 KENNETT PIKE C100
GREENVILLE, DE 19807
(302) 656-8219
1982765038DR. ERNEST M FIDANCE DDS
Individual
Dentist3801 KENNETT PIKE C100
GREENVILLE, DE 19807
(302) 656-8219
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