Provider Demographics
NPI:1508061599
Name:PURCHASE WOMENS HEALTH CARE ASSOCIATES P S C
Entity Type:Organization
Organization Name:PURCHASE WOMENS HEALTH CARE ASSOCIATES P S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-442-5102
Mailing Address - Street 1:2603 KENTUCKY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003
Mailing Address - Country:US
Mailing Address - Phone:270-442-5102
Mailing Address - Fax:270-442-5108
Practice Address - Street 1:2603 KENTUCKY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003
Practice Address - Country:US
Practice Address - Phone:270-442-5102
Practice Address - Fax:270-442-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20705207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1760553754OtherNPI
KY64207053Medicaid
KY3033Medicare PIN
KY64207053Medicaid
1760553754OtherNPI