Provider Demographics
NPI:1548572886
Name:BIRTH CIRCLE CORPORATION
Entity Type:Organization
Organization Name:BIRTH CIRCLE CORPORATION
Other - Org Name:THE BIRTH PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:406-581-2073
Mailing Address - Street 1:820 N WALLACE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3024
Mailing Address - Country:US
Mailing Address - Phone:406-581-2073
Mailing Address - Fax:888-858-2409
Practice Address - Street 1:820 N WALLACE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3024
Practice Address - Country:US
Practice Address - Phone:406-581-2073
Practice Address - Fax:888-858-2409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing