Provider Demographics
NPI:1548566516
Name:CONCORD BIRTH CENTER
Entity Type:Organization
Organization Name:CONCORD BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HARTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, NHCM
Authorized Official - Phone:603-228-8710
Mailing Address - Street 1:254 N STATE ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3224
Mailing Address - Country:US
Mailing Address - Phone:603-228-8710
Mailing Address - Fax:
Practice Address - Street 1:254 N STATE ST
Practice Address - Street 2:UNIT D
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3224
Practice Address - Country:US
Practice Address - Phone:603-228-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03155261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing