1538150941 NPI number — FEMALE HEALTH SPECIALIST INC.

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 1538150941 NPI number — FEMALE HEALTH SPECIALIST INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FEMALE HEALTH SPECIALIST 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:
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:
1538150941
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 82428
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78708-2428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-583-0205
Provider Business Mailing Address Fax Number:
512-583-2001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
675 W NORTH AVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
MELROSE PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60160-1634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-450-4540
Provider Business Practice Location Address Fax Number:
708-450-5760
Provider Enumeration Date:
11/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MEHTA
Authorized Official First Name:
ASHIMA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
OFFICER
Authorized Official Telephone Number:
708-450-4540

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 211479 . This is a "MEDICARE PIN - COOK CO." identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 211482 . This is a "MEDICARE PIN - LAKE CO." identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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