Organization Name: | WOMENCARE |
NPI Number: | 1871763102 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA COOK CARTER (CEO) |
Mailing Address: | 301 Great Teays Blvd Ste 6 Scott Depot |
State: | WV US |
Postal Code: | 255609552 |
Phone Number: | 3047576999 |
Fax Number: | 3047573252 |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |