1801894720 NPI number — WOMEN'S HEALTH & MEDICAL SURGICAL SERVICES

Table of content: (NPI 1801894720)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801894720 NPI number — WOMEN'S HEALTH & MEDICAL SURGICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMEN'S HEALTH & MEDICAL SURGICAL SERVICES
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:
6
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:
1801894720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
545 N BUS US HWY 65
Provider Second Line Business Mailing Address:
STE. 504
Provider Business Mailing Address City Name:
BRANSON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65616-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-335-2080
Provider Business Mailing Address Fax Number:
417-336-3583

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HC 6 BOX 11016
Provider Second Line Business Practice Location Address:
EAST STATE HIGHWAY 76
Provider Business Practice Location Address City Name:
BRANSON WEST
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65737-9806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-272-0505
Provider Business Practice Location Address Fax Number:
417-272-3020
Provider Enumeration Date:
07/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BRADLEY
Authorized Official First Name:
JANET
Authorized Official Middle Name:
ADRIENNE
Authorized Official Title or Position:
OFFICE
Authorized Official Telephone Number:
417-335-2080

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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