| Tidalhealth Primary Care, LLC | |
|
96 Atlantic Ave Ste 101 Ocean View DE 19970-9103 | |
| (302) 541-4460 | |
| Not Available |
| Full Name | Tidalhealth Primary Care, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 96 Atlantic Ave Ste 101, Ocean View, Delaware |
| Authorized Official Name and Position | Sloan Trammell (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4109126989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Primary Care, LLC Po Box 825474 Philadelphia PA 19182-5474 | Tidalhealth Primary Care, LLC 96 Atlantic Ave Ste 101 Ocean View DE 19970-9103 Ph: (302) 541-4460 |
| NPI Number | 1558223610 |
|---|---|
| Provider Enumeration Date | 11/26/2025 |
| Last Update Date | 11/26/2025 |
| Certification Date | 11/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558223610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Tidalhealth Primary Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Atlantic Ave Ste A, Ocean View, DE 19970 Phone: 302-541-4460 |
Bonnie L. Burnquist, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Atlantic Ave, Suite 201, Ocean View, DE 19970 Phone: 302-537-6110 Fax: 302-537-4666 |
La Red Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30637 Cedar Neck Road, Ocean View, DE 19970 Phone: 302-855-1233 Fax: 302-855-2025 |