Provider Demographics
NPI:1346445335
Name:CENTER FOR MATERNAL & INFANT HEALTH
Entity Type:Organization
Organization Name:CENTER FOR MATERNAL & INFANT HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-843-7863
Mailing Address - Street 1:211 MEDICAL SCHOOL WING E CB # 7181
Mailing Address - Street 2:EMERGENCY ROOM DR
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-843-7863
Mailing Address - Fax:919-843-7866
Practice Address - Street 1:UNC WOMEN S HOSPITAL
Practice Address - Street 2:W10427 CENTER FOR MATERNAL & INFANT HEALTH
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-843-6001
Practice Address - Fax:919-843-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty