Provider Demographics
NPI: | 1477048338 |
---|---|
Name: | ROLLING HILLS BIRTH CENTERS, LLC |
Entity type: | Organization |
Organization Name: | ROLLING HILLS BIRTH CENTERS, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | MIDWIFE, OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | VIVIANNE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FISCHER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LM |
Authorized Official - Phone: | 509-338-5326 |
Mailing Address - Street 1: | 425 S GRAND AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | PULLMAN |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 99163-2751 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 509-330-5539 |
Mailing Address - Fax: | 509-795-0936 |
Practice Address - Street 1: | 425 S GRAND AVE |
Practice Address - Street 2: | |
Practice Address - City: | PULLMAN |
Practice Address - State: | WA |
Practice Address - Zip Code: | 99163-2751 |
Practice Address - Country: | US |
Practice Address - Phone: | 509-330-5539 |
Practice Address - Fax: | 509-795-0936 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-06-24 |
Last Update Date: | 2018-06-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | 261QB0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QB0400X | Ambulatory Health Care Facilities | Clinic/Center | Birthing |