Provider Demographics
NPI:1962472183
Name:TOTAL WOMEN'S HEALTH CARE, INC.
Entity Type:Organization
Organization Name:TOTAL WOMEN'S HEALTH CARE, INC.
Other - Org Name:OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES OF SPRINGFIELD, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALELI
Authorized Official - Middle Name:L
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-747-4544
Mailing Address - Street 1:46 DAGGETT DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4638
Mailing Address - Country:US
Mailing Address - Phone:413-747-4544
Mailing Address - Fax:413-747-4552
Practice Address - Street 1:46 DAGGETT DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4638
Practice Address - Country:US
Practice Address - Phone:413-747-4544
Practice Address - Fax:413-747-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM10921Medicare PIN