Provider Demographics
NPI:1477048338
Name:ROLLING HILLS BIRTH CENTERS, LLC
Entity Type:Organization
Organization Name:ROLLING HILLS BIRTH CENTERS, LLC
Other - Org Name:ROLLING HILLS BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MIDWIFE, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:509-338-5326
Mailing Address - Street 1:425 S GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2751
Mailing Address - Country:US
Mailing Address - Phone:509-330-5539
Mailing Address - Fax:509-795-0936
Practice Address - Street 1:425 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2751
Practice Address - Country:US
Practice Address - Phone:509-330-5539
Practice Address - Fax:509-795-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-24
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing