Provider Demographics
NPI:1366521262
Name:NEW CASTLE FAMILY CARE
Entity type:Organization
Organization Name:NEW CASTLE FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-325-4900
Mailing Address - Street 1:612 FERRY CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720
Mailing Address - Country:US
Mailing Address - Phone:302-325-4900
Mailing Address - Fax:302-325-4904
Practice Address - Street 1:612 FERRY CUT OFF ROAD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4549
Practice Address - Country:US
Practice Address - Phone:302-325-4900
Practice Address - Fax:302-325-4904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001026402Medicaid
DE171962Medicare PIN
DE0001026402Medicaid