Provider Demographics
NPI:1639275571
Name:WOMEN'S MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WOMEN'S MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-332-8224
Mailing Address - Street 1:528 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3213
Mailing Address - Country:US
Mailing Address - Phone:419-332-8224
Mailing Address - Fax:419-332-9230
Practice Address - Street 1:528 3RD AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3213
Practice Address - Country:US
Practice Address - Phone:419-332-8224
Practice Address - Fax:419-332-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047567F207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHWO9264641Medicare ID - Type UnspecifiedMEDICARE GRP #