Provider Demographics
NPI:1417091638
Name:BELLINGHAM BIRTH CENTER, INC, PS
Entity Type:Organization
Organization Name:BELLINGHAM BIRTH CENTER, INC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:M.
Authorized Official - Middle Name:CATRIONA
Authorized Official - Last Name:MUNRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-752-2229
Mailing Address - Street 1:2430 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3415
Mailing Address - Country:US
Mailing Address - Phone:360-752-2229
Mailing Address - Fax:360-752-2228
Practice Address - Street 1:2430 CORNWALL AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3415
Practice Address - Country:US
Practice Address - Phone:360-752-2229
Practice Address - Fax:360-752-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACBC026261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7123821Medicaid