Healthcare Provider Details

I. General information

NPI: 1417428889
Provider Name (Legal Business Name): FEMHEALTH USA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 GOLF RD STE 920
SKOKIE IL
60076-1224
US

IV. Provider business mailing address

1001 CONNECTICUT AVE NW STE 805
WASHINGTON DC
20036-5536
US

V. Phone/Fax

Practice location:
  • Phone: 855-729-2272
  • Fax: 224-330-1064
Mailing address:
  • Phone: 202-530-4173
  • Fax: 202-833-1725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA GRANT
Title or Position: COO
Credential:
Phone: 202-530-4170