Provider Demographics
NPI:1134229164
Name:NEW WOMEN'S HEALTH CENTER, LLC
Entity type:Organization
Organization Name:NEW WOMEN'S HEALTH CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-391-9047
Mailing Address - Street 1:500C 15TH ST E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3232
Mailing Address - Country:US
Mailing Address - Phone:205-391-9047
Mailing Address - Fax:205-391-9343
Practice Address - Street 1:500C 15TH ST E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3232
Practice Address - Country:US
Practice Address - Phone:205-391-9047
Practice Address - Fax:205-391-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5299221960Medicaid