1275592768 NPI number — WOMEN'S HEALTHCARE GROUP OF PA HEALTH CARE FOR WOMEN ONLY DIVISION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275592768 NPI number — WOMEN'S HEALTHCARE GROUP OF PA HEALTH CARE FOR WOMEN ONLY DIVISION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMEN'S HEALTHCARE GROUP OF PA HEALTH CARE FOR WOMEN ONLY DIVISION
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:
1275592768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13 ARMAND HAMMER BLVD
Provider Second Line Business Mailing Address:
3RD FLOOR
Provider Business Mailing Address City Name:
POTTSTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19464-5067
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-326-7172
Provider Business Mailing Address Fax Number:
610-326-0974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13 ARMAND HAMMER BLVD
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
POTTSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19464-5067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-326-7172
Provider Business Practice Location Address Fax Number:
610-326-0974
Provider Enumeration Date:
03/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEILSON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
610-326-7172

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5017320 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1652863 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2330381000 . This is a "KEYSTONE & PERSONAL CHOIC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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