NPIMap

Organization Active NPI

Whole Woman's Health Alliance

Doing business as Whole Woman's Health of South Bend

  • Clinic/Center
  • South Bend, IN
National Provider Identifier
1962914119
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHOLE WOMAN'S HEALTH ALLIANCE
Doing business as
Whole Woman's Health of South Bend
Practice address
3511 Lincoln Way W
South Bend, IN 46628-1411
Phone
(512) 835-6858
Fax
(888) 724-3239
NPI assigned
Oct 27, 2017
Organization subpart
Yes
Parent organization
WHOLE WOMAN'S HEALTH ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Virginia E Smith
Title
Credentialing Coordinator
Phone
(434) 422-2061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3511 Lincoln Way W
South Bend, IN 46628-1411

Mailing address

1001 E Market St Ste 200
Charlottesville, VA 22902-5381
Phone (434) 202-8818

Other names 1

  • Whole Woman's Health of South Bend Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Whole Woman's Health Alliance4 organizations share this tax ID, including this one
Part of
Whole Woman's Health Alliance

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1962914119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E MARKET ST STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025381",
            "telephone_number": "434-202-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 LINCOLN WAY W",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281411",
            "telephone_number": "512-835-6858",
            "fax_number": "888-724-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN'S HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHOLE WOMAN'S HEALTH ALLIANCE",
        "enumeration_date": "2017-10-27",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "434-422-2061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Woman's Health of South Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.