Provider Demographics
NPI:1225084957
Name:WOMEN'S HEALTH GROUP
Entity Type:Organization
Organization Name:WOMEN'S HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SIMOLKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-652-3019
Mailing Address - Street 1:2209 S STERLING ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4091
Mailing Address - Country:US
Mailing Address - Phone:828-580-4661
Mailing Address - Fax:828-580-4698
Practice Address - Street 1:2209 S STERLING ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4091
Practice Address - Country:US
Practice Address - Phone:828-580-4661
Practice Address - Fax:828-580-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790290AMedicaid
NCCM6586OtherMEDICARE RAILROAD
NC1383Medicare PIN
2344532Medicare PIN