Provider Demographics
NPI:1316905136
Name:SALINAS WOMENS CARE INC
Entity type:Organization
Organization Name:SALINAS WOMENS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-757-8915
Mailing Address - Street 1:130 E ROMIE LN
Mailing Address - Street 2:STE D
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3158
Mailing Address - Country:US
Mailing Address - Phone:831-757-8915
Mailing Address - Fax:831-757-6376
Practice Address - Street 1:130 E ROMIE LN
Practice Address - Street 2:STE D
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3158
Practice Address - Country:US
Practice Address - Phone:831-757-8915
Practice Address - Fax:831-757-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0074030Medicaid
F87961Medicare UPIN
CAGR0074030Medicaid