Henderson Clinic for Women PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

39877 Issued in NC

Legal business name

HENDERSON CLINIC FOR WOMEN PA

Doing business as

Henderson Clinic For Women

Practice address

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536-5919

Phone

(252) 492-8576

Fax

(252) 492-7464

NPI assigned

May 24, 2005

Last updated

Aug 22, 2020By 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

Ms. Nancy P King

Title

Office Manager

Phone

(252) 492-8576

Specialties & licenses 1

Addresses

Other names 1

• Henderson Clinic For Women Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104829183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "STE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-492-8576",
            "fax_number": "252-492-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "STE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-492-8576",
            "fax_number": "252-492-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CLINIC FOR WOMEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-492-8576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "39877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Clinic For Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Henderson Pulmonary & Sleep Medicine, PLLC
• Henderson SCH Operating LLC
• Henderson Wellness Center, PA

• Legal Medicine in Henderson, NC
• Providers in Henderson, NC by specialty
• Legal Medicine in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.