Provider Demographics
NPI:1891359550
Name:RIVER CITY BIRTH CENTER
Entity Type:Organization
Organization Name:RIVER CITY BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNYA
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:804-601-6992
Mailing Address - Street 1:6219 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5238
Mailing Address - Country:US
Mailing Address - Phone:804-601-6992
Mailing Address - Fax:
Practice Address - Street 1:6219 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-5238
Practice Address - Country:US
Practice Address - Phone:804-601-6992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing