Provider Demographics
NPI:1366009292
Name:GENTLE LANDING BIRTH CENTER, LLC
Entity Type:Organization
Organization Name:GENTLE LANDING BIRTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LM
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAMHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-279-3158
Mailing Address - Street 1:2 BUCK RD STE 5
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2715
Mailing Address - Country:US
Mailing Address - Phone:603-448-6940
Mailing Address - Fax:603-448-0190
Practice Address - Street 1:2 BUCK RD BLDG 1
Practice Address - Street 2:SUITE C-2
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2715
Practice Address - Country:US
Practice Address - Phone:603-448-6940
Practice Address - Fax:603-448-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-27
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing