Provider Demographics
NPI:1326380882
Name:SOUTHERN PINES WOMEN'S HEALTH CENTER, PC
Entity Type:Organization
Organization Name:SOUTHERN PINES WOMEN'S HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:CARPENTER
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-684-1532
Mailing Address - Street 1:145 APPLE CROSS ROAD TURNBERRY WOODS
Mailing Address - Street 2:PO BOX 749
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-0749
Mailing Address - Country:US
Mailing Address - Phone:910-692-7928
Mailing Address - Fax:910-692-5962
Practice Address - Street 1:110 MEDICAL CENTER DRIVE
Practice Address - Street 2:SOUTHERN PINES WOMENS HEALTH CENTER ROCKINGHAM
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379
Practice Address - Country:US
Practice Address - Phone:910-895-7528
Practice Address - Fax:910-895-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7902698Medicaid
NCCE8410OtherMEDICARE RAILROAD
NC230812Medicare UPIN