Provider Demographics
NPI:1821021197
Name:RICHMOND BIRTH SERVICES, INC.
Entity Type:Organization
Organization Name:RICHMOND BIRTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:WEAVER
Authorized Official - Last Name:GIGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:804-282-8471
Mailing Address - Street 1:220 ROSLYN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7439
Mailing Address - Country:US
Mailing Address - Phone:804-282-8471
Mailing Address - Fax:804-282-8477
Practice Address - Street 1:220 ROSLYN HILLS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-7439
Practice Address - Country:US
Practice Address - Phone:804-282-8471
Practice Address - Fax:804-282-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024082953367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA77-9059-7Medicaid