Provider Demographics
NPI:1104868470
Name:SOUTHWEST CENTER FOR WOMENS HEALTH PC
Entity Type:Organization
Organization Name:SOUTHWEST CENTER FOR WOMENS HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHIRS
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-834-5929
Mailing Address - Street 1:1215 HADLEY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-2905
Mailing Address - Country:US
Mailing Address - Phone:317-834-3770
Mailing Address - Fax:317-834-9482
Practice Address - Street 1:1215 HADLEY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-2905
Practice Address - Country:US
Practice Address - Phone:317-834-3770
Practice Address - Fax:317-834-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201540Medicare ID - Type Unspecified