1467555656 NPI number — PARTNERS FOR WOMEN'S HEALTH, P.A.

Table of content: (NPI 1467555656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467555656 NPI number — PARTNERS FOR WOMEN'S HEALTH, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARTNERS FOR WOMEN'S HEALTH, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467555656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 ALUMNI DR
Provider Second Line Business Mailing Address:
SUITE 401
Provider Business Mailing Address City Name:
EXETER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03833-2119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-778-0557
Provider Business Mailing Address Fax Number:
603-778-1669

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 ALUMNI DR
Provider Second Line Business Practice Location Address:
SUITE 401
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-778-0557
Provider Business Practice Location Address Fax Number:
603-778-1669
Provider Enumeration Date:
09/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PIERSON-ROY
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
603-778-0557

Provider Taxonomy Codes

  • Taxonomy code: 207VX0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 83163924 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30D0087286 . This is a "CLIA NUMBER" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com