Provider Demographics
NPI:1376588970
Name:COMPREHENSIVE WOMEN'S CARE, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE WOMEN'S CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-583-5552
Mailing Address - Street 1:3600 OLENTANGY RIVER RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3437
Mailing Address - Country:US
Mailing Address - Phone:614-583-5552
Mailing Address - Fax:614-583-5559
Practice Address - Street 1:3600 OLENTANGY RIVER RD
Practice Address - Street 2:BUILDING A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3437
Practice Address - Country:US
Practice Address - Phone:614-583-5552
Practice Address - Fax:614-583-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9338522Medicare ID - Type UnspecifiedMEDICARE GROUP