1275525289 NPI number — BIRTH CARE & FAMILY HEALTH SERVICES

Table of content: (NPI 1275525289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275525289 NPI number — BIRTH CARE & FAMILY HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIRTH CARE & FAMILY HEALTH SERVICES
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:
1275525289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 152
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BART
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17503-0152
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-786-5506
Provider Business Mailing Address Fax Number:
717-786-5507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1138 GEORGETOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHRISTIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17509-9720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-786-5506
Provider Business Practice Location Address Fax Number:
717-786-5507
Provider Enumeration Date:
08/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
KETCHAM
Authorized Official First Name:
MAREN
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
717-786-5506

Provider Taxonomy Codes

  • Taxonomy code: 261QB0400X , with the licence number:  0002 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007781850004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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