Provider Demographics
NPI:1235573031
Name:WOMEN'S ASSOCIATES, PC
Entity Type:Organization
Organization Name:WOMEN'S ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CMM
Authorized Official - Phone:719-473-2424
Mailing Address - Street 1:1015 E PIKES PEAK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-5700
Mailing Address - Country:US
Mailing Address - Phone:719-473-2424
Mailing Address - Fax:719-227-1475
Practice Address - Street 1:1015 E PIKES PEAK AVE STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-5700
Practice Address - Country:US
Practice Address - Phone:719-473-2424
Practice Address - Fax:719-227-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04009171Medicaid
COCS5708Medicare PIN