Provider Demographics
NPI:1205519303
Name:SOUTH WIND WOMEN'S CENTER
Entity type:Organization
Organization Name:SOUTH WIND WOMEN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCHAUNTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES- BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-429-7940
Mailing Address - Street 1:PO BOX 3222
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3222
Mailing Address - Country:US
Mailing Address - Phone:316-425-3215
Mailing Address - Fax:
Practice Address - Street 1:3354 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3512
Practice Address - Country:US
Practice Address - Phone:918-749-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH WIND WOMEN'S CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty