Provider Demographics
NPI:1245538289
Name:AUBURN BIRTHING CENTER LLC
Entity type:Organization
Organization Name:AUBURN BIRTHING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFERY DIRECTOR,OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:VANDERHORST
Authorized Official - Suffix:
Authorized Official - Credentials:CNM MSN
Authorized Official - Phone:260-316-4039
Mailing Address - Street 1:1915 WESLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-3665
Mailing Address - Country:US
Mailing Address - Phone:260-316-4039
Mailing Address - Fax:260-333-0811
Practice Address - Street 1:1915 WESLEY ROAD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-3665
Practice Address - Country:US
Practice Address - Phone:260-333-0811
Practice Address - Fax:260-333-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X, 367A00000X, 261QB0400X
IN01057752A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty