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Contact Information

OB-GYN WOMEN'S CENTER, PC
3003 HIGHWAY 95
SUITE 39
BULLHEAD CITY, AZ86429
 Phone: 928-758-1010
 Fax: 928-758-1428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for OB-GYN WOMEN'S CENTER, PC

NPI Number 1992901672
LBN Legal business name OB-GYN WOMEN'S CENTER, PC
Authorized official DIANE IMMESBERGER - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2007
Last updated 10/29/2018 - About 8 years ago
Identifiers
AZ Medicaid 145525
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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