AGELESS WOMEN'S HEALTH ID LLC – NPI #1235975202
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

AGELESS WOMEN'S HEALTH ID LLC is a provider located in MERIDIAN, ID. NPPES has assigned the NPI number 1235975202 to AGELESS WOMEN'S HEALTH ID LLC on July 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGELESS WOMEN'S HEALTH ID LLC below.

NPI Profile for
AGELESS WOMEN'S HEALTH ID LLC

NPI Number
1235975202
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGELESS WOMEN'S HEALTH ID LLC
Primary location
3875 E OVERLAND RD STE 108
MERIDIAN, ID 83642-9047
Phone: (208) 268-5592 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TEAH PHILLIPS
CREDENTIALING MANAGER
Phone: (901) 205-3999
Updated
Certification Date
Jul 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.