Provider Demographics
NPI:1164506424
Name:NWMC-WINFIELD PHYSICIAN PRACTICES, LLC
Entity Type:Organization
Organization Name:NWMC-WINFIELD PHYSICIAN PRACTICES, LLC
Other - Org Name:WOMENS SPECIALTY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIMPIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-979-8861
Mailing Address - Street 1:PO BOX 1349
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-1349
Mailing Address - Country:US
Mailing Address - Phone:205-487-7979
Mailing Address - Fax:205-487-7982
Practice Address - Street 1:191 CARRAWAY DR
Practice Address - Street 2:UNIT B
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5067
Practice Address - Country:US
Practice Address - Phone:205-487-7979
Practice Address - Fax:205-487-7982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
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
ALJ190Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER