Organization Active NPI

Free Women'S Center of Pulaski County

  • Clinic/Center
  • Waynesville, MO
National Provider Identifier
1922588821
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2015013466 Issued in MO
Legal business name
FREE WOMEN'S CENTER OF PULASKI COUNTY
Practice address
704 Historic Route 66 West
Suite 106
Waynesville, MO 65583-8322
Phone
(573) 774-4992
Fax
(573) 774-4968
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Mr. Robert G. Fowers, D.O. (OB/GYN)
Title
Medical Doctor
Phone
(573) 774-4992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2015013466 MO Primary

Addresses

Primary practice location

704 Historic Route 66 West
Suite 106
Waynesville, MO 65583-8322

Mailing address

704 Historic Route 66 West
Suite 106
Waynesville, MO 65583-8322
Phone (573) 774-4992

National Provider Directory

National Provider Directory

Locations

704 Historic 66 W
Ste 106
Waynesville, MO 65583
Phone (573) 774-4992

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1922588821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HISTORIC ROUTE 66 WEST",
            "address_2": "SUITE 106",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655838322",
            "telephone_number": "573-774-4992",
            "fax_number": "573-774-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HISTORIC ROUTE 66 WEST",
            "address_2": "SUITE 106",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655838322",
            "telephone_number": "573-774-4992",
            "fax_number": "573-774-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE WOMEN'S CENTER OF PULASKI COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "FOWERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "573-774-4992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O. (OB/GYN)"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2015013466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.