Provider Demographics
NPI:1598357295
Name:THE SPECIAL DELIVERY BIRTH CENTER, LLC
Entity Type:Organization
Organization Name:THE SPECIAL DELIVERY BIRTH CENTER, LLC
Other - Org Name:THE SPECIAL DELIVERY COMPANY BIRTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-280-8881
Mailing Address - Street 1:102 E HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223
Mailing Address - Country:US
Mailing Address - Phone:425-923-0570
Mailing Address - Fax:360-403-9747
Practice Address - Street 1:22416 128TH DR. NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:425-923-0570
Practice Address - Fax:360-403-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACBC.FS.61127584OtherFACILITY LICENSE NUMBER
WA2175564Medicaid