Provider Demographics
NPI:1801290762
Name:WOMEN'S HEATLH CARE ASSOCIATES
Entity type:Organization
Organization Name:WOMEN'S HEATLH CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRENETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-383-7446
Mailing Address - Street 1:9005 HIGHWAY 64
Mailing Address - Street 2:STE 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8391
Mailing Address - Country:US
Mailing Address - Phone:901-383-7446
Mailing Address - Fax:901-383-7448
Practice Address - Street 1:9005 HIGHWAY 64
Practice Address - Street 2:STE 101
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-8391
Practice Address - Country:US
Practice Address - Phone:901-383-7446
Practice Address - Fax:901-383-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39552174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05882244Medicaid
TN3833454OtherTN SELECT
TN1519346Medicaid
TN4266578OtherBLUECROSS BLUECARE