Provider Demographics
NPI:1396160842
Name:BARBOURSVILLE CONTRACEPTIVE CARE, INC.
Entity type:Organization
Organization Name:BARBOURSVILLE CONTRACEPTIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-697-2035
Mailing Address - Street 1:143 PEYTON ST
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-2063
Mailing Address - Country:US
Mailing Address - Phone:304-697-2035
Mailing Address - Fax:304-523-1485
Practice Address - Street 1:143 PEYTON ST
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-2063
Practice Address - Country:US
Practice Address - Phone:304-697-2035
Practice Address - Fax:304-523-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty