Provider Demographics
NPI:1336207992
Name:MATERNITY CENTER ASSOCIATES
Entity Type:Organization
Organization Name:MATERNITY CENTER ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBATZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:301-530-3300
Mailing Address - Street 1:6506 BELLS MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-530-3300
Mailing Address - Fax:301-530-7807
Practice Address - Street 1:6506 BELLS MILL ROAD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-530-3300
Practice Address - Fax:301-530-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB013 REG 16038261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
R24049Medicare UPIN