Provider Demographics
NPI:1740289347
Name:WOMENS HEALTH RESOURCES INC
Entity type:Organization
Organization Name:WOMENS HEALTH RESOURCES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PELPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN CMF
Authorized Official - Phone:860-647-6996
Mailing Address - Street 1:54 HARTFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5276
Mailing Address - Country:US
Mailing Address - Phone:860-647-6996
Mailing Address - Fax:860-646-8900
Practice Address - Street 1:54 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5276
Practice Address - Country:US
Practice Address - Phone:860-647-6996
Practice Address - Fax:860-646-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5003900001Medicare NSC