Provider Demographics
NPI:1184034456
Name:THE BIRTH CENTER, INC.
Entity Type:Organization
Organization Name:THE BIRTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-288-2229
Mailing Address - Street 1:5107 S 900 E
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-6600
Mailing Address - Country:US
Mailing Address - Phone:801-288-2229
Mailing Address - Fax:801-288-7045
Practice Address - Street 1:5107 S 900 E
Practice Address - Street 2:SUITE 140
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-6600
Practice Address - Country:US
Practice Address - Phone:801-288-2229
Practice Address - Fax:801-288-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing