Provider Demographics
NPI:1649206996
Name:COMPLETE HEALTHCARE FOR WOMEN INC.
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE FOR WOMEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILROY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-882-4343
Mailing Address - Street 1:5888 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2815
Mailing Address - Country:US
Mailing Address - Phone:614-882-4343
Mailing Address - Fax:614-882-4664
Practice Address - Street 1:5888 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2815
Practice Address - Country:US
Practice Address - Phone:614-882-4343
Practice Address - Fax:614-882-4664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-5146-S207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2642788Medicaid
OH2642788Medicaid