Provider Demographics
NPI:1659498129
Name:JUST FOR WOMEN HEALTH CENTER PA
Entity Type:Organization
Organization Name:JUST FOR WOMEN HEALTH CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORANGE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:501-663-2200
Mailing Address - Street 1:PO BOX 56080
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-6080
Mailing Address - Country:US
Mailing Address - Phone:501-663-2200
Mailing Address - Fax:501-954-7624
Practice Address - Street 1:5100 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1855
Practice Address - Country:US
Practice Address - Phone:501-663-2200
Practice Address - Fax:501-954-7624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0444207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5J726Medicare ID - Type UnspecifiedINDIVIDUAL
ARF14828Medicare UPIN
AR5C956Medicare ID - Type UnspecifiedGROUP