Provider Demographics
NPI:1871706341
Name:MARGUERITE CENTER FOR WOMEN'S HEALTH LLC
Entity type:Organization
Organization Name:MARGUERITE CENTER FOR WOMEN'S HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERSONS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-446-3266
Mailing Address - Street 1:PO BOX 1128
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-6128
Mailing Address - Country:US
Mailing Address - Phone:614-446-3266
Mailing Address - Fax:
Practice Address - Street 1:1835 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-5210
Practice Address - Country:US
Practice Address - Phone:614-888-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP01850261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2465774Medicaid
1801880935OtherNATIONAL PROVIDER #
OHQ17534Medicare UPIN
OH2465774Medicaid