MEDICARE: THE CENTER FOR WOMENS HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0206X	Mammography Clinic/Center

General Provider Information

NPI Number	:	1063517548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CENTER FOR WOMENS HEALTH

Provider Business Mailing Address
First Line	:	8920 SOUTHPOINTE DR STE B1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 SOUTHPOINTE DR STE B1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-865-6240
Fax Number	:

Authorized Official
Title or Position	:	ADMIN ASSISTANT
Name	:	LOU ANN VAUGHN
Credential	:
Telephone Number	:	317-865-6240

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/22/2020

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Directions to “THE CENTER FOR WOMENS HEALTH ” Practice Location

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