Provider Demographics
NPI:1821188335
Name:VALLEY WOMEN'S HEALTH CARE, INC., PC
Entity type:Organization
Organization Name:VALLEY WOMEN'S HEALTH CARE, INC., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-939-6549
Mailing Address - Street 1:1 EAST MAIN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4904
Mailing Address - Country:US
Mailing Address - Phone:253-939-9654
Mailing Address - Fax:253-939-6549
Practice Address - Street 1:1 EAST MAIN STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4904
Practice Address - Country:US
Practice Address - Phone:253-939-9654
Practice Address - Fax:253-939-6549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600600300207V00000X
207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7046816Medicaid
G217129200Medicare PIN