Provider Demographics
NPI:1083800817
Name:WOMEN'S HEALTH & COUNSELING CENTER
Entity Type:Organization
Organization Name:WOMEN'S HEALTH & COUNSELING CENTER
Other - Org Name:SOMERSET FAMILY PLANNING SERVICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-2335
Mailing Address - Street 1:71 FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:908-526-2335
Mailing Address - Fax:908-595-9431
Practice Address - Street 1:71 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876
Practice Address - Country:US
Practice Address - Phone:908-526-2335
Practice Address - Fax:908-595-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22253261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038601Medicaid