Edgerton Women's Health Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDGERTON WOMEN'S HEALTH CENTER, INC.

Practice address

1510 E Rusholme St
Davenport, IA 52803-2463

Phone

(563) 359-6633

Fax

(563) 359-5261

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Annika K O'Melia, LISW

Title

President/Ceo

Phone

(563) 359-6633

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1841386166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON WOMEN'S HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "O'MELIA",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "563-359-6633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164541",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Iowa Orthotics & Prosthetics, LLC
• Ethan Eaton, DC
• Marcia Diane Echols
• Susan M. Eckert
• Pamela Eckman, BS, PHARMD
• Edgerton Womens Health Center
• Edgerton Womens Health Center
• Edgerton Womens Health Center
• Jenifer Edstrom, ARNP, FNP-C
• Alyssa Edwards, TLMHC, LPC

• Specialist in Davenport, IA
• Providers in Davenport, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.