Provider Demographics
NPI:1629526835
Name:CASA NATAL, INC
Entity Type:Organization
Organization Name:CASA NATAL, INC
Other - Org Name:CASA NATAL BIRTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED MIDWIFE, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:408-778-7583
Mailing Address - Street 1:50 W MAIN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-4567
Mailing Address - Country:US
Mailing Address - Phone:408-778-7583
Mailing Address - Fax:408-778-7807
Practice Address - Street 1:50 W MAIN AVE STE D
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4567
Practice Address - Country:US
Practice Address - Phone:408-778-7583
Practice Address - Fax:408-778-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing