Provider Demographics
NPI:1972566164
Name:ASHEVILLE WOMEN'S MEDICAL CENTER , PA
Entity Type:Organization
Organization Name:ASHEVILLE WOMEN'S MEDICAL CENTER , PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCTS MGR
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOPPELBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-258-9191
Mailing Address - Street 1:143 ASHELAND AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4013
Mailing Address - Country:US
Mailing Address - Phone:828-258-9191
Mailing Address - Fax:828-232-0031
Practice Address - Street 1:143 ASHELAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4013
Practice Address - Country:US
Practice Address - Phone:828-258-9191
Practice Address - Fax:828-232-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-02963Medicaid
NC89-02963Medicaid