Provider Demographics
NPI:1053583138
Name:WOMAN TO WOMAN HEALTHCARE
Entity type:Organization
Organization Name:WOMAN TO WOMAN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-673-0224
Mailing Address - Street 1:90 HEALTH PARK DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9757
Mailing Address - Country:US
Mailing Address - Phone:303-673-0224
Mailing Address - Fax:303-673-0259
Practice Address - Street 1:90 HEALTH PARK DR
Practice Address - Street 2:SUITE 190
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9757
Practice Address - Country:US
Practice Address - Phone:303-673-0224
Practice Address - Fax:303-673-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCA8008OtherMEDICARE LEGACY NUMBER