Provider Demographics
NPI:1922378314
Name:WOMEN'S HEALTH PC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH PC
Other - Org Name:WOMEN'S HEALTH PC, DR. RACHEL YANKAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:YANKAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:269-969-6115
Mailing Address - Street 1:601 SOUTH SHORE DRIVE
Mailing Address - Street 2:SUITE 224
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-0440
Mailing Address - Country:US
Mailing Address - Phone:269-969-6115
Mailing Address - Fax:269-969-6117
Practice Address - Street 1:601 SOUTH SHORE DRIVE
Practice Address - Street 2:SUITE 224
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-0440
Practice Address - Country:US
Practice Address - Phone:269-969-6115
Practice Address - Fax:269-969-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRY047854207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N39780Medicare UPIN