Provider Demographics
NPI:1447358130
Name:GENERATIONS WOMEN'S HEALTH CENTER, P.A.
Entity type:Organization
Organization Name:GENERATIONS WOMEN'S HEALTH CENTER, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-490-0433
Mailing Address - Street 1:1030 COUNTY ROAD E, WEST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8152
Mailing Address - Country:US
Mailing Address - Phone:651-490-0433
Mailing Address - Fax:651-490-4568
Practice Address - Street 1:1030 COUNTY ROAD E, WEST
Practice Address - Street 2:SUITE 200
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-8152
Practice Address - Country:US
Practice Address - Phone:651-490-0433
Practice Address - Fax:651-490-4568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7782304207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN206G3GEOtherBLUEC/BLUES GROUP ID
MNI753Medicaid
MNG56310Medicare UPIN
MNI753Medicaid