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General NPI Number Information
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NPI Number | 1972773224
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Entity Type | Organization
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Legal Business Name | WOMENCARE, INC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 116 HILLS PLZ
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City | CHARLESTON
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State | WV
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Zip | 25387-2438
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Country | US
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Telephone | 304-720-4466
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Fax | 304-720-4813
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Provider Business Mailing Address
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Address Line | 97 GREAT TEAYS BLVD SUITE 6
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City | SCOTT DEPOT
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State | WV
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Zip | 25560-9816
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Country | US
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Telephone | 304-757-6999
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Fax | 304-757-3252
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JULIE DIANNE RAY
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Credential |
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Telephone | 304-757-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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