Provider Demographics
NPI:1790593697
Name:OB/GYN AFFILIATES
Entity type:Organization
Organization Name:OB/GYN AFFILIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FOELSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-375-5845
Mailing Address - Street 1:220 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GOODLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67735-1602
Mailing Address - Country:US
Mailing Address - Phone:785-899-3685
Mailing Address - Fax:303-861-8615
Practice Address - Street 1:220 W 2ND ST
Practice Address - Street 2:
Practice Address - City:GOODLAND
Practice Address - State:KS
Practice Address - Zip Code:67735-1602
Practice Address - Country:US
Practice Address - Phone:785-899-3685
Practice Address - Fax:303-861-8615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OB/GYN AFFILIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty