Provider Demographics
NPI:1760547871
Name:FOUR WOMEN
Entity Type:Organization
Organization Name:FOUR WOMEN
Other - Org Name:FOUR WOMEN, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BELDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-222-7555
Mailing Address - Street 1:150 EMORY ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2439
Mailing Address - Country:US
Mailing Address - Phone:508-222-7555
Mailing Address - Fax:508-226-2218
Practice Address - Street 1:150 EMORY ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2439
Practice Address - Country:US
Practice Address - Phone:508-222-7555
Practice Address - Fax:508-226-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44H1261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA27012OtherBOSTON MEDICAL CENTER INS
MA3798256OtherAETNA
RI411241OtherBLUE CHIP
RI5720-0OtherBLUE CROSS RI
MA1606590Medicaid
MA689958OtherTUFTS INS.
MAM18209OtherBLUE CROSS OF MA GROUP
MAM18209OtherBLUE CROSS OF MA GROUP