Woman's Health Clinic of Grenada, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WOMAN'S HEALTH CLINIC OF GRENADA, INC

Practice address

1401 Oak St
Grenada, MS 38901-4633

Phone

(662) 226-4010

Fax

(662) 226-4495

NPI assigned

Mar 20, 2007

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gale H Moore, CNMNPI 1962582585

Title

Owner

Phone

(662) 226-4010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gale Moore, C.N.M.

  • Advanced Practice Midwife
  • Grenada, MS
  • NPI 1962582585
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1013032150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OAK STREET",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014633",
            "telephone_number": "662-226-4010",
            "fax_number": "662-226-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 OAK ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014633",
            "telephone_number": "662-226-4010",
            "fax_number": "662-226-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S HEALTH CLINIC OF GRENADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-226-4010",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013808",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin M Whalley, MD
• John Frank Wiggins Jr.
• Schenita Lashun Williams
• Thomas Mark Williams, P-LPC
• Mary Leslie Wilson Fowler, LPC
• Edna Wong-McKinstry, M.D.
• Woods Wellness and Counseling
• Ashley Nicole Woods, FNP
• Elizabeth Michelle Woods, LMSW
• Laura Deanna Woods, LCSW

• Rural Health Clinic/Center in Grenada, MS
• Providers in Grenada, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.