Provider Demographics
NPI:1518398684
Name:SYBA BIRTH LLC
Entity Type:Organization
Organization Name:SYBA BIRTH LLC
Other - Org Name:NEW BIRTH COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YUNGHANS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:913-620-1505
Mailing Address - Street 1:721 N 31ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3964
Mailing Address - Country:US
Mailing Address - Phone:913-620-1505
Mailing Address - Fax:
Practice Address - Street 1:721 N 31ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3964
Practice Address - Country:US
Practice Address - Phone:913-620-1505
Practice Address - Fax:913-884-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center