Healthcare Provider Details

I. General information

NPI: 1356311237
Provider Name (Legal Business Name): CAROLINA WOMEN'S HEALTH CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 CARTHAGE ST
SANFORD NC
27330-4161
US

IV. Provider business mailing address

1140 CARTHAGE ST
SANFORD NC
27330-4161
US

V. Phone/Fax

Practice location:
  • Phone: 919-775-2304
  • Fax: 919-775-4020
Mailing address:
  • Phone: 919-775-2304
  • Fax: 919-775-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number36747
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number9400974
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number168
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number129
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number200501812
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number61868
License Number StateNC
# 7
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number13251
License Number StateNC

VIII. Authorized Official

Name: MRS. LISA HAMER RUBINOSKY
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 919-775-2304