Provider Demographics
NPI:1558679779
Name:A MOTHER'S LOVE BIRTHING CENTER
Entity Type:Organization
Organization Name:A MOTHER'S LOVE BIRTHING CENTER
Other - Org Name:A MOTHER'S LOVE BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:WILLISTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, CPM
Authorized Official - Phone:816-699-6416
Mailing Address - Street 1:9710 E 40 HWY
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6116
Mailing Address - Country:US
Mailing Address - Phone:816-313-6163
Mailing Address - Fax:
Practice Address - Street 1:9710 E 40 HWY
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6116
Practice Address - Country:US
Practice Address - Phone:816-313-6163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical