Provider Demographics
NPI:1750018156
Name:CIRCLE CITY MIDWIFERY BIRTH CENTER INC
Entity type:Organization
Organization Name:CIRCLE CITY MIDWIFERY BIRTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERUWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-735-6969
Mailing Address - Street 1:341 MAGNOLIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3332
Mailing Address - Country:US
Mailing Address - Phone:951-547-4208
Mailing Address - Fax:
Practice Address - Street 1:1353 OLD TEMESCAL RD STE 103
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-7257
Practice Address - Country:US
Practice Address - Phone:951-547-4208
Practice Address - Fax:866-777-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing