Provider Demographics
NPI:1154034932
Name:REGIONAL WOMENS HEALTH GROUP,LLC
Entity type:Organization
Organization Name:REGIONAL WOMENS HEALTH GROUP,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, RCM INTEGRATED OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JARED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-276-2190
Mailing Address - Street 1:PO BOX 22573
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2573
Mailing Address - Country:US
Mailing Address - Phone:856-669-6050
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:680 KINDERKAMACK RD STE 200
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1602
Practice Address - Country:US
Practice Address - Phone:201-666-4200
Practice Address - Fax:201-666-2262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL WOMEN'S HEALTH GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty