Provider Demographics
NPI:1710341300
Name:COMPASS BIRTHING SERVICES
Entity Type:Organization
Organization Name:COMPASS BIRTHING SERVICES
Other - Org Name:NORTH STAR BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOMEDICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-269-5563
Mailing Address - Street 1:1728 S GOLD ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-8951
Mailing Address - Country:US
Mailing Address - Phone:360-807-4421
Mailing Address - Fax:
Practice Address - Street 1:1728 S GOLD ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-8951
Practice Address - Country:US
Practice Address - Phone:360-807-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies