Provider Demographics
NPI:1710059431
Name:EXPECTATIONS WOMANS HEALTH AND CHILD BEARING CENTER
Entity Type:Organization
Organization Name:EXPECTATIONS WOMANS HEALTH AND CHILD BEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-281-9497
Mailing Address - Street 1:1506 W WHITE RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-4949
Mailing Address - Country:US
Mailing Address - Phone:765-281-9497
Mailing Address - Fax:765-281-9498
Practice Address - Street 1:1506 W WHITE RIVER BLVD
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-4949
Practice Address - Country:US
Practice Address - Phone:765-281-9497
Practice Address - Fax:765-281-9498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-00490-6261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing