Provider Demographics
NPI:1760049985
Name:ABC PREGNANCY CARE CENTER
Entity Type:Organization
Organization Name:ABC PREGNANCY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:907-283-9062
Mailing Address - Street 1:501 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7700
Mailing Address - Country:US
Mailing Address - Phone:907-283-9062
Mailing Address - Fax:907-283-9064
Practice Address - Street 1:501 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7700
Practice Address - Country:US
Practice Address - Phone:907-283-9062
Practice Address - Fax:907-283-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility