Provider Demographics
NPI:1205920089
Name:ALL WOMEN'S CARE, A.P.M.C.
Entity type:Organization
Organization Name:ALL WOMEN'S CARE, A.P.M.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MENDENHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-872-1777
Mailing Address - Street 1:852 BELANGER ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4408
Mailing Address - Country:US
Mailing Address - Phone:985-872-1777
Mailing Address - Fax:985-872-9777
Practice Address - Street 1:852 BELANGER ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4408
Practice Address - Country:US
Practice Address - Phone:985-872-1777
Practice Address - Fax:985-872-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1947024Medicaid
LA1947024Medicaid