Provider Demographics
NPI:1598764367
Name:LINCOLN CENTER FOR WOMEN'S HEALTH
Entity Type:Organization
Organization Name:LINCOLN CENTER FOR WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNIECE
Authorized Official - Middle Name:E
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-735-2134
Mailing Address - Street 1:1460 E GASTON ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4400
Mailing Address - Country:US
Mailing Address - Phone:704-735-2134
Mailing Address - Fax:704-735-6784
Practice Address - Street 1:1460 E GASTON ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4400
Practice Address - Country:US
Practice Address - Phone:704-735-2134
Practice Address - Fax:704-735-6784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94000931207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7958707Medicaid
NC790182RMedicaid
2238739Medicare ID - Type Unspecified
NC790182RMedicaid
2035936Medicare ID - Type Unspecified
NC7958707Medicaid