Provider Demographics
NPI:1912994898
Name:AUGUSTA HEALTH CARE FOR WOMEN, PLC
Entity type:Organization
Organization Name:AUGUSTA HEALTH CARE FOR WOMEN, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-213-7765
Mailing Address - Street 1:39 BEAM LN
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2348
Mailing Address - Country:US
Mailing Address - Phone:540-213-7750
Mailing Address - Fax:540-213-7755
Practice Address - Street 1:39 BEAM LN
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2348
Practice Address - Country:US
Practice Address - Phone:540-213-7750
Practice Address - Fax:540-213-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA98856OtherOPTIMA FACILITY NUMBER
VAC05503Medicare ID - Type UnspecifiedGROUP #