Provider Demographics
NPI:1871604348
Name:WOMEN'S HEALTH CARE, INC.
Entity type:Organization
Organization Name:WOMEN'S HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEARSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-576-0930
Mailing Address - Street 1:226 S WOODS MILL RD
Mailing Address - Street 2:SUITE 68 WEST
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3662
Mailing Address - Country:US
Mailing Address - Phone:314-576-0930
Mailing Address - Fax:314-514-8229
Practice Address - Street 1:226 S WOODS MILL RD
Practice Address - Street 2:SUITE 68 WEST
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3662
Practice Address - Country:US
Practice Address - Phone:314-576-0930
Practice Address - Fax:314-514-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9768207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205835705Medicaid
MO201091014Medicaid
MO208863100Medicaid
MOF87787Medicare UPIN
MO205835705Medicaid
MO201091014Medicaid
MOH61717Medicare UPIN
MO208863100Medicaid