A Womans Life Family Health Care Center LLC

Key facts

NPI

1487789152

Entity type

Organization (NPI type 2)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

119283 (MO)

Legal business name

A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC

Practice address

1435 N Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63701-2171

Phone

(573) 334-7006

Fax

(573) 334-7090

NPI assigned

Feb 22, 2007

Organization subpart

No

Authorized official

Name

Dolores J McDowell, APRN

Title

Owner

Phone

(573) 334-7006

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Keser, CS-FNP Nurse Practitioner · Harrisburg, IL · NPI 1053391151
  NPD (past) FAMILY

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• A.W.L. Family Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2011.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1487789152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N MOUNT AUBURN RD",
            "address_2": "SUITE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-334-7006",
            "fax_number": "573-334-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N MOUNT AUBURN RD",
            "address_2": "SUITE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-334-7006",
            "fax_number": "573-334-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-334-7006",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "119283",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "126562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595400003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.W.L. Family Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

• 24 Hour Care L.L.C.
• 4 Sight Counseling
• 4-Sight Counseling, Inc.
• A Carter Home Care Services LLC
• A Womans Life Family Healthcare Center
• A. Carter Home Health Services LLC
• Misty Marie Abbott, MA LPC
• Brenda A Abernathy, RN
• Mechelle Abernathy, LPN

All providers in Cape Girardeau, MO · Family Nurse Practitioner in Missouri