Provider Type Icon

LOGANSPORT CLINIC FOR WOMEN NPI 1376767178


NPI Information

NPI: 1376767178
Provider Name: LOGANSPORT CLINIC FOR WOMEN

Doing Business As: WOMEN'S HEALTH CENTER OF LOGANSPORT

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 15D0358780

Address:
1025 MICHIGAN AVE
SUITE 115
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-3566
Get Directions

LOGANSPORT CLINIC FOR WOMEN is an obstetrics gynecology in Logansport, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LOGANSPORT CLINIC FOR WOMEN NPI is 1376767178. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Women's Health Center Of Logansport.

The provider's business location address is:

1025 MICHIGAN AVE
SUITE 115
LOGANSPORT, IN
ZIP 46947-593
Phone: (574) 722-3566
Fax: (574) 753-6118

The provider's authorized official is Sandra M. Elliot .
The authorized official title is Corporate Compliance Officer and has the following contact phone number (574) 753-1767.

The CLIA number assigned to this NPI record is 15D0358780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 4/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C24402MEDICARE UPININDIANA
2G43330MEDICARE UPININDIANA
3111880BMEDICARE ID-TYPE UNSPECIFIEDINDIANA
4111880FMEDICARE ID-TYPE UNSPECIFIEDINDIANA
5940670XXXXMEDICARE PININDIANA
6940670ZZZZMEDICARE PININDIANA
7940670A1MEDICARE PININDIANA
8B95753MEDICARE UPININDIANA
9940670VVVVMEDICARE PININDIANA
10G42783MEDICARE UPININDIANA
11111880EMEDICARE ID-TYPE UNSPECIFIEDINDIANA
12111880MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.