Provider Demographics
NPI:1558303123
Name:RAPPAHANNOCK WOMEN'S HEALTH CENTER PC
Entity Type:Organization
Organization Name:RAPPAHANNOCK WOMEN'S HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-361-1740
Mailing Address - Street 1:PO BOX 6183
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22403-6183
Mailing Address - Country:US
Mailing Address - Phone:540-361-1740
Mailing Address - Fax:540-374-3102
Practice Address - Street 1:1071 CARE WAY STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8431
Practice Address - Country:US
Practice Address - Phone:540-374-3100
Practice Address - Fax:540-374-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06016Medicare PIN