1356428338 NPI number — NATIONAL WOMEN'S HEALTH ORGANIZATION OF COLUMBUS, INC.

Table of content: (NPI 1356428338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356428338 NPI number — NATIONAL WOMEN'S HEALTH ORGANIZATION OF COLUMBUS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL WOMEN'S HEALTH ORGANIZATION OF COLUMBUS, INC.
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:
COLUMBUS WOMEN'S HEALTH ORGANIZATION
Provider Other Organization Name Type Code:
3
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:
1356428338
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3613 HAWORTH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27609-7218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-783-0444
Provider Business Mailing Address Fax Number:
919-785-0523

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3850 ROSEMONT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31904-5659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-323-8363
Provider Business Practice Location Address Fax Number:
706-327-3811
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HILL
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
919-783-0444

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  236708 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 11D0266568 . This is a "CLIA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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