Provider Demographics
NPI:1265502280
Name:SOUTHWESTERN WOMENS HEALTH LLC
Entity Type:Organization
Organization Name:SOUTHWESTERN WOMENS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEGUIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:417-269-7600
Mailing Address - Street 1:1000 E PRIMROSE ST STE 540
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5180
Mailing Address - Country:US
Mailing Address - Phone:417-269-7600
Mailing Address - Fax:
Practice Address - Street 1:1000 E PRIMROSE ST STE 540
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5180
Practice Address - Country:US
Practice Address - Phone:417-269-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2262Medicare PIN