1174657811 NPI number — THE BIRTHING INN

Table of content: (NPI 1174657811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174657811 NPI number — THE BIRTHING INN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE BIRTHING INN
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:
1174657811
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6002 WESTGATE BLVD
Provider Second Line Business Mailing Address:
SUITE 120
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98406-2580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-951-0040
Provider Business Mailing Address Fax Number:
253-761-7492

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6002 WESTGATE BLVD
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98406-2580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-761-8939
Provider Business Practice Location Address Fax Number:
253-761-7492
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAYNARD
Authorized Official First Name:
XENIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
253-951-0040

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  MW60002237 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X , with the licence number: CBC-023 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X , with the licence number: CBC.FS.60393769 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7098783 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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