Provider Demographics
NPI:1598886400
Name:WAREHAM WOMENS HEALTH INC
Entity Type:Organization
Organization Name:WAREHAM WOMENS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-295-5595
Mailing Address - Street 1:191 MAIN STREET
Mailing Address - Street 2:SUITE 213C
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571
Mailing Address - Country:US
Mailing Address - Phone:508-295-5595
Mailing Address - Fax:508-295-7767
Practice Address - Street 1:191 MAIN STREET
Practice Address - Street 2:SUITE 213C
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571
Practice Address - Country:US
Practice Address - Phone:508-295-5595
Practice Address - Fax:508-295-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ04844OtherBCBS GREGORY CHU MD
MA3000931Medicaid
MA1215096672OtherNPI WENDY F BONE MD
MA734962OtherTUFTS GREGORY CHU MD
MA1821195066OtherNPI GREGORY CHU MD
MA779026OtherTUFTS WENDY F BONE MD
MAJ04545OtherBCBS WENDY F BONE MD
MA6199437Medicaid
MA1821195066OtherNPI GREGORY CHU MD
MA734962OtherTUFTS GREGORY CHU MD
MA6199437Medicaid
MA3000931Medicaid