Provider Demographics
NPI:1912488537
Name:COMMUNITY BIRTH GROUP
Entity Type:Organization
Organization Name:COMMUNITY BIRTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-341-8598
Mailing Address - Street 1:216 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-6018
Mailing Address - Country:US
Mailing Address - Phone:800-341-8598
Mailing Address - Fax:
Practice Address - Street 1:2325 S HANOVER SALUDA RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:IN
Practice Address - Zip Code:47243-9196
Practice Address - Country:US
Practice Address - Phone:800-341-8598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY BIRTH GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-22
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Yes282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty