Healthcare Provider Details

I. General information

NPI: 1508985862
Provider Name (Legal Business Name): WOMEN'S CARE CENTER OF COLUMBUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 HAZELTON ETNA RD SW
PATASKALA OH
43062-9630
US

IV. Provider business mailing address

1375 CHERRY WAY DR SUITE 110
GAHANNA OH
43230-8700
US

V. Phone/Fax

Practice location:
  • Phone: 740-927-2383
  • Fax:
Mailing address:
  • Phone: 614-475-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35059321
License Number StateOH

VIII. Authorized Official

Name: DONNA KREUTER
Title or Position: OFFICE MANAGER
Credential:
Phone: 614-475-0811