OrganizationActive
State of Delaware
NPI 1104984525 · Student Health Clinic/Center · Dover, DE
Provider details
- NPI number
- 1104984525
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Herman Ellis, Medical Director(302) 744-4700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
417 Federal St
Dover, DE 19901-3635
Phone: (302) 744-4849
Fax: (302) 739-6627
Street-level locationGet directions
Mailing address
417 Federal St
Dover, DE 19901-3635
Other names (DBA / former)
- Other name
- Wilmington Wellness Center
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.