Healthcare Provider Details

I. General information

NPI: 1184747115
Provider Name (Legal Business Name): WOMEN'S HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 HARRISON AVENUE
ELKINS WV
26241
US

IV. Provider business mailing address

810 HARRISON AVENUE
ELKINS WV
26241
US

V. Phone/Fax

Practice location:
  • Phone: 304-636-0172
  • Fax: 304-636-0672
Mailing address:
  • Phone: 304-636-0172
  • Fax: 304-636-0672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. REBECCA J HAMMER
Title or Position: VICE PRESIDENT FOR FINANCE
Credential:
Phone: 304-637-3156