Provider Demographics
NPI:1982648127
Name:THE FAMILY HEALTH AND BIRTH CENTER, INC
Entity Type:Organization
Organization Name:THE FAMILY HEALTH AND BIRTH CENTER, INC
Other - Org Name:THE MIDWIFE GROUP AND BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:I
Authorized Official - Last Name:BELIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:912-629-6262
Mailing Address - Street 1:1692 CHATHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1350
Mailing Address - Country:US
Mailing Address - Phone:912-629-6262
Mailing Address - Fax:912-226-3268
Practice Address - Street 1:1692 CHATHAM PKWY
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1350
Practice Address - Country:US
Practice Address - Phone:912-629-6262
Practice Address - Fax:912-226-3268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-003261QB0400X
GARN051676367A00000X
GARN208618367A00000X
GARN055207367A00000X
GARN163679367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00433864AMedicaid