Organization Active NPI

Women's Health Care Center, Inc.

  • Specialist
  • Danville, VA
National Provider Identifier
1073648580
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101041452 Issued in VA
Legal business name
WOMEN'S HEALTH CARE CENTER, INC.
Practice address
513 Piney Forest Rd
Lower Level
Danville, VA 24540-3353
Phone
(434) 792-1330
Fax
(434) 792-2924
NPI assigned
Feb 23, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Louis E Eliacin, M.D.
Title
Owner
Phone
(434) 792-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101041452 VA Primary

Addresses

Primary practice location

513 Piney Forest Rd
Lower Level
Danville, VA 24540-3353

Mailing address

513 Piney Forest Rd
Lower Level
Danville, VA 24540-3353
Phone (434) 792-1330

Other identifiers 4

IdentifierTypeStateIssuer
46151OtherVAOPTIMA
890546POtherNCNORTH CAROLINA MEDICAID
006233058MedicaidVA
053798OtherVAANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

Locations

513 Piney Forest Rd
Lowr
Danville, VA 24540
Phone (434) 792-1330

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1073648580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PINEY FOREST RD",
            "address_2": "LOWER LEVEL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245403353",
            "telephone_number": "434-792-1330",
            "fax_number": "434-792-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PINEY FOREST RD",
            "address_2": "LOWER LEVEL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245403353",
            "telephone_number": "434-792-1330",
            "fax_number": "434-792-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "ELIACIN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-792-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101041452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "46151",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAID",
            "identifier": "890546P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006233058",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "053798",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.