Provider Demographics
NPI:1639409683
Name:MARSHALL MIDWIFERY AND BIRTH CENTER LLC
Entity Type:Organization
Organization Name:MARSHALL MIDWIFERY AND BIRTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURAFKA-ORME
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:703-593-4278
Mailing Address - Street 1:8434 W MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20115
Mailing Address - Country:US
Mailing Address - Phone:540-364-0376
Mailing Address - Fax:
Practice Address - Street 1:8434 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115
Practice Address - Country:US
Practice Address - Phone:540-364-0376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty