Organization Active NPI

Clinic for Women PA

  • Specialist
  • Huntsville, AL
National Provider Identifier
1962659508
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8858 Issued in AL
Legal business name
CLINIC FOR WOMEN PA
Practice address
250 Chateau Dr SW
Suite 145
Huntsville, AL 35801-6436
Phone
(256) 533-7420
Fax
(256) 882-7858
NPI assigned
Aug 26, 2008
Organization subpart
Yes
Parent organization
CLINIC FOR WOMEN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Ms. Audrey West
Title
Practice Administrator
Phone
(256) 533-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 8858 AL Primary

Addresses

Primary practice location

250 Chateau Dr SW
Suite 145
Huntsville, AL 35801-6436

Mailing address

910 Adams St SE
Suite 300
Huntsville, AL 35801-3730
Phone (256) 533-7420

Other identifiers 5

IdentifierTypeStateIssuer
32719OtherALMEDICARE
32722OtherALMEDICARE
32723OtherALMEDICARE
32724OtherALMEDICARE
78543OtherALMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000067 AL Part B Supplier - Clinic/Group Practice 7911895610 Receives reassigned benefits from 12 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, AL; Huntsville, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Clinic for Women PA

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1962659508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-533-7420",
            "fax_number": "256-536-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "address_2": "SUITE 145",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016436",
            "telephone_number": "256-533-7420",
            "fax_number": "256-882-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR WOMEN PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC FOR WOMEN PA",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-533-7420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "8858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "32719",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "32722",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "32723",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "32724",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "78543",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.