Provider Demographics
NPI:1245740570
Name:FREDERICK BIRTH CENTER, L.L.C
Entity Type:Organization
Organization Name:FREDERICK BIRTH CENTER, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYCHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PILIA
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:210-577-8149
Mailing Address - Street 1:5600 MOUNTAIN LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2300
Mailing Address - Country:US
Mailing Address - Phone:1210-577-8149
Mailing Address - Fax:
Practice Address - Street 1:7420 HAYWARD ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:210-577-8149
Practice Address - Fax:240-306-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing