Provider Demographics
NPI:1831276674
Name:ASSOCIATES IN WOMENS HEALTHCARE
Entity type:Organization
Organization Name:ASSOCIATES IN WOMENS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-878-7333
Mailing Address - Street 1:226 S WOODS MILL RD
Mailing Address - Street 2:SUITE 60 WEST
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3662
Mailing Address - Country:US
Mailing Address - Phone:314-878-7333
Mailing Address - Fax:314-878-7453
Practice Address - Street 1:226 S WOODS MILL RD
Practice Address - Street 2:SUITE 60 WEST
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3662
Practice Address - Country:US
Practice Address - Phone:314-878-7333
Practice Address - Fax:314-878-7453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCH5921Medicare Oscar/Certification
MO000012791Medicare PIN