Provider Demographics
NPI:1376763136
Name:WOMEN'S BIRTH AND WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:WOMEN'S BIRTH AND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MIDWIFERY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARCEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:919-933-3301
Mailing Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:STE. 202
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:STE. 202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC208391OtherMEDCOST GROUP #
NC7000091Medicaid
NC002419079001OtherUNITED HEALTHCARE GROUP #
NC3409985Medicaid
NC015PNOtherBLUE CROSS GROUP #