1376726125 NPI number — MONTGOMERY WOMEN'S HEALTH ASSOCIATES P.C.

Table of content: (NPI 1376726125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376726125 NPI number — MONTGOMERY WOMEN'S HEALTH ASSOCIATES P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONTGOMERY WOMEN'S HEALTH ASSOCIATES P.C.
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:
1376726125
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
470 TAYLOR RD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36117-7130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-281-1191
Provider Business Mailing Address Fax Number:
334-281-1940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
470 TAYLOR RD STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36117-7130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-281-1191
Provider Business Practice Location Address Fax Number:
334-281-1940
Provider Enumeration Date:
12/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DUNCAN
Authorized Official First Name:
KELSEY
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
334-281-1191

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000010705 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000045746 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000002428 . This is a "BLUE CROSS OF AL PROVIDER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009984165 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000045746 . This is a "BLUE CROSS OF AL PROVIDER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000045746 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000002428 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 0000010705 . This is a "BLUE CROSS OF ALABAMA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000011527 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 515-000011527 . This is a "BLUE CROSS OF AL PROVIDER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000010705 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009933441 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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