Provider Demographics
NPI:1811376957
Name:NEW RIVER WOMEN'S HEALTH
Entity Type:Organization
Organization Name:NEW RIVER WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-605-7566
Mailing Address - Street 1:210 PROFESSIONAL PARK DRIVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6649
Mailing Address - Country:US
Mailing Address - Phone:540-605-7566
Mailing Address - Fax:540-605-7569
Practice Address - Street 1:210 PROFESSIONAL PARK DR SE
Practice Address - Street 2:SUITE 9
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6680
Practice Address - Country:US
Practice Address - Phone:540-605-7566
Practice Address - Fax:540-605-7569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty