Provider Demographics
NPI:1437310174
Name:INFINITY BIRTHING CENTER LLC
Entity Type:Organization
Organization Name:INFINITY BIRTHING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PALMA
Authorized Official - Last Name:CASAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-520-1529
Mailing Address - Street 1:1080 NEAL ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0942
Mailing Address - Country:US
Mailing Address - Phone:931-520-1529
Mailing Address - Fax:931-372-2751
Practice Address - Street 1:1080 NEAL ST
Practice Address - Street 2:SUITE 301
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0942
Practice Address - Country:US
Practice Address - Phone:931-520-1529
Practice Address - Fax:931-372-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing