Provider Demographics
NPI:1891457909
Name:MARIPOSA BIRTH CENTER
Entity Type:Organization
Organization Name:MARIPOSA BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAROCHE-PAPERNO
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:706-949-0559
Mailing Address - Street 1:830 ZION ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2923
Mailing Address - Country:US
Mailing Address - Phone:530-264-7174
Mailing Address - Fax:530-362-4642
Practice Address - Street 1:830 ZION ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2923
Practice Address - Country:US
Practice Address - Phone:530-264-7174
Practice Address - Fax:530-362-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty