Provider Demographics
NPI:1225482300
Name:ELEANOR GRAY BIRTH AND POSTPARTUM DOULA
Entity Type:Organization
Organization Name:ELEANOR GRAY BIRTH AND POSTPARTUM DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH AND POSTPARTUM DOULA
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:SUTHERLAND-RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-957-2001
Mailing Address - Street 1:3540 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4318
Mailing Address - Country:US
Mailing Address - Phone:617-957-2001
Mailing Address - Fax:
Practice Address - Street 1:3540 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4318
Practice Address - Country:US
Practice Address - Phone:617-957-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen