Provider Demographics
NPI:1568609147
Name:WOMEN AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:WOMEN AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-782-4906
Mailing Address - Street 1:508 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-2645
Mailing Address - Country:US
Mailing Address - Phone:419-782-4906
Mailing Address - Fax:419-784-2692
Practice Address - Street 1:508 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-2645
Practice Address - Country:US
Practice Address - Phone:419-782-4906
Practice Address - Fax:419-784-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH340903600NOtherPARAMOUNT ADVANTAGE
OH145540879003OtherMEDICAL MUTUAL
OH3409036000NOtherPARAMOUNT
OH0265001Medicaid
OH000000557135OtherANTHEM BLUE CROSS & BLUE SHIELD
OH000000557135OtherANTHEM - MAGELLAN
OH735635OtherBUCKEYE
OH145540879002OtherMEDICAL MUTUAL