1285845347 NPI number — NATURAL BIRTH CHOICES, INC.

Table of content: (NPI 1285845347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285845347 NPI number — NATURAL BIRTH CHOICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATURAL BIRTH CHOICES, INC.
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:
1285845347
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16604 NE 3RD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33162-3506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-399-7080
Provider Business Mailing Address Fax Number:
305-891-3304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16604 NE 3RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33162-3506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-399-7080
Provider Business Practice Location Address Fax Number:
305-891-3304
Provider Enumeration Date:
05/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BLOT
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
DESAMOURS
Authorized Official Title or Position:
LICENSED MIDWIFE
Authorized Official Telephone Number:
786-399-7080

Provider Taxonomy Codes

  • Taxonomy code: 175M00000X , with the licence number:  MW158 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 009745700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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