Provider Demographics
NPI:1043372337
Name:DOCTORS FOR WOMEN MEDICAL CENTER
Entity Type:Organization
Organization Name:DOCTORS FOR WOMEN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-892-2434
Mailing Address - Street 1:71380 HIGHWAY 21
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7245
Mailing Address - Country:US
Mailing Address - Phone:985-892-2434
Mailing Address - Fax:985-892-7396
Practice Address - Street 1:71380 HIGHWAY 21
Practice Address - Street 2:SUITE 101
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7245
Practice Address - Country:US
Practice Address - Phone:985-892-2434
Practice Address - Fax:985-892-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1441333Medicaid
LA5C864Medicare ID - Type UnspecifiedMEDICARE PART B