1972667392 NPI number — WOMENS CARE PARTNERS, PLLC

Table of content: (NPI 1972667392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972667392 NPI number — WOMENS CARE PARTNERS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMENS CARE PARTNERS, PLLC
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:
1972667392
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:
2613 8TH AVE
Provider Second Line Business Mailing Address:
SUITE 2E
Provider Business Mailing Address City Name:
ALTOONA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16602-2000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-942-6771
Provider Business Mailing Address Fax Number:
814-942-5494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2613 8TH AVE
Provider Second Line Business Practice Location Address:
SUITE 2E
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16602-2000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-942-6771
Provider Business Practice Location Address Fax Number:
814-942-5494
Provider Enumeration Date:
12/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LEONARDIS
Authorized Official First Name:
LORI
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
814-942-6771

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 155140 . This is a "MEDPLUS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 49083 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1513321 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3213296 . This is a "PLLC ENTITY NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 215661 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: B70039 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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