Organization
WOMENCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GLOVER (CEO/PRESIDENT)
(304) 760-6316
Entity
Organization
Contact information
Practice address
503 ROOSEVELT BLVD, ELEANOR, WV 25070-0000
(304) 757-6999
(304) 757-3252
Mailing address
301 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9552
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255660056
—
WV
05
—
3810017656
—
WV
Enumeration date
12/08/2009
Last updated
05/24/2022
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