Provider Demographics
NPI:1841042660
Name:WOMENS HEALTHCARE SERVICES INCORPORATED
Entity type:Organization
Organization Name:WOMENS HEALTHCARE SERVICES INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:VALLS
Authorized Official - Last Name:MACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:405-906-3345
Mailing Address - Street 1:1943 W 33RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3910
Mailing Address - Country:US
Mailing Address - Phone:405-906-3345
Mailing Address - Fax:405-906-3426
Practice Address - Street 1:1943 W 33RD ST STE 100
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3910
Practice Address - Country:US
Practice Address - Phone:405-906-3345
Practice Address - Fax:405-906-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center