MEDICARE: WOMEN'S HEALTH CONNECTIONS

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	261QP2300X	Primary Care Clinic/Center
2	261QA0005X	Ambulatory Family Planning Facility		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073663514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH CONNECTIONS

Provider Business Mailing Address
First Line	:	P.O. BOX 145
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801
Country	:	US
Telephone Number	:	903-731-7000
Fax Number	:	903-731-7016

Provider Business Practice Location Address
First Line	:	3215 W. OAK ST.
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801
Country	:	US
Telephone Number	:	903-731-7000
Fax Number	:	903-731-7016

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. RITA KUCMIERZ
Credential	:	NP
Telephone Number	:	903-731-7000

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	11/10/2015

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Directions to “WOMEN'S HEALTH CONNECTIONS ” Practice Location

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