1538211834 NPI number — THE BIRTH CENTER, A NURSING CORPORATION

Table of content: (NPI 1538211834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538211834 NPI number — THE BIRTH CENTER, A NURSING CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE BIRTH CENTER, A NURSING CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538211834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5440 LAUREL HILLS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95841-3106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-344-1860
Provider Business Mailing Address Fax Number:
916-344-1862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5440 LAUREL HILLS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95841-3106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-344-1860
Provider Business Practice Location Address Fax Number:
916-344-1862
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CUMMINGS
Authorized Official First Name:
DORIS
Authorized Official Middle Name:
RUTH
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
916-344-1860

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  NMW015460 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GNMW00090 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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