Basic Information
| Provider Information | |||||||||
| NPI: | 1396160842 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BARBOURSVILLE CONTRACEPTIVE CARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 143 PEYTON ST | ||||||||
| Address2: | |||||||||
| City: | BARBOURSVILLE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 255042063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046972035 | ||||||||
| FaxNumber: | 3045231485 | ||||||||
| Practice Location | |||||||||
| Address1: | 143 PEYTON ST | ||||||||
| Address2: | |||||||||
| City: | BARBOURSVILLE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 255042063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046972035 | ||||||||
| FaxNumber: | 3045231485 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2014 | ||||||||
| LastUpdateDate: | 03/09/2017 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | COLLEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3046972035 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.