Provider Demographics
NPI:1184314601
Name:WOMEN'S HEALTH CENTER OF MARYLAND
Entity type:Organization
Organization Name:WOMEN'S HEALTH CENTER OF MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-634-7515
Mailing Address - Street 1:17202 MCMULLEN HWY SW
Mailing Address - Street 2:
Mailing Address - City:CRESAPTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17204 MCMULLEN HWY SW
Practice Address - Street 2:
Practice Address - City:CRESAPTOWN
Practice Address - State:MD
Practice Address - Zip Code:21502-6214
Practice Address - Country:US
Practice Address - Phone:301-709-5101
Practice Address - Fax:301-709-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service