Provider Demographics
NPI:1588990923
Name:FOUNDATION FOR WOMEN'S HEALTH, INC
Entity type:Organization
Organization Name:FOUNDATION FOR WOMEN'S HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAN PELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-252-5325
Mailing Address - Street 1:3301 TAMIAMI TRL E BLDG H
Mailing Address - Street 2:COLLIER GOV'T CENTER
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-4902
Mailing Address - Country:US
Mailing Address - Phone:239-252-5325
Mailing Address - Fax:239-252-2595
Practice Address - Street 1:3301 TAMIAMI TRL E BLDG H
Practice Address - Street 2:COLLIER GOV'T CENTER
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-4902
Practice Address - Country:US
Practice Address - Phone:239-252-5325
Practice Address - Fax:239-252-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center