Provider Demographics
NPI:1669111399
Name:RENEWAL CENTER FOR BIRTH, LLC
Entity type:Organization
Organization Name:RENEWAL CENTER FOR BIRTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ARISTIZABAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-330-9843
Mailing Address - Street 1:16700 N THOMPSON PEAK PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2384
Mailing Address - Country:US
Mailing Address - Phone:480-454-4490
Mailing Address - Fax:480-546-5433
Practice Address - Street 1:16700 N THOMPSON PEAK PKWY STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2384
Practice Address - Country:US
Practice Address - Phone:480-454-4490
Practice Address - Fax:480-546-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing