Organization
CLINIC FOR WOMEN PA
Active
Parent organization
CLINIC FOR WOMEN PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINIC FOR WOMEN PA
Authorized official
MS. AUDREY WEST (PRACTICE ADMINISTRATOR)
(256) 533-7420
Entity
Organization
Contact information
Practice address
250 CHATEAU DR SW, SUITE 145, HUNTSVILLE, AL 35801-6436
(256) 533-7420
(256) 882-7858
Mailing address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8858
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32719
MEDICARE
AL
01
—
32722
MEDICARE
AL
01
—
32723
MEDICARE
AL
01
—
32724
MEDICARE
AL
01
—
78543
MEDICARE
AL
Enumeration date
08/26/2008
Last updated
08/26/2008
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