Provider Demographics
NPI:1508801051
Name:THE WOMANS CLINIC
Entity Type:Organization
Organization Name:THE WOMANS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-328-2901
Mailing Address - Street 1:1205 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3759
Mailing Address - Country:US
Mailing Address - Phone:828-328-2901
Mailing Address - Fax:828-327-6223
Practice Address - Street 1:1205 N CENTER ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3759
Practice Address - Country:US
Practice Address - Phone:828-328-2901
Practice Address - Fax:828-327-6223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1982690186OtherDR. STEVEN R. MERTA
NC1083600134OtherNPI/DR. ROBERT D. BOYD
NC1225024532OtherNPI/DR. ALICE BISHOPRIC