Provider Demographics
NPI:1508985862
Name:WOMEN'S CARE CENTER OF COLUMBUS INC
Entity Type:Organization
Organization Name:WOMEN'S CARE CENTER OF COLUMBUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KREUTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-475-0811
Mailing Address - Street 1:1375 CHERRY WAY DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-8700
Mailing Address - Country:US
Mailing Address - Phone:614-475-0811
Mailing Address - Fax:
Practice Address - Street 1:8200 HAZELTON ETNA RD SW
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9630
Practice Address - Country:US
Practice Address - Phone:740-927-2383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059321207V00000X
261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9259903Medicare PIN