Healthcare Provider Details

I. General information

NPI: 1508892050
Provider Name (Legal Business Name): WOMENS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CLAREMONT ST
KALISPELL MT
59901-3585
US

IV. Provider business mailing address

75 CLAREMONT ST
KALISPELL MT
59901-3500
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8282
  • Fax: 406-257-2225
Mailing address:
  • Phone: 406-752-8282
  • Fax: 406-257-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberEIN:
License Number StateMT

VIII. Authorized Official

Name: SHARLA TEUBERT
Title or Position: OFFICE MANAGER
Credential:
Phone: 406-752-8282