Provider Demographics
NPI:1912522376
Name:NORTHERN COLORADO BIRTH CENTER
Entity Type:Organization
Organization Name:NORTHERN COLORADO BIRTH CENTER
Other - Org Name:TENDER GIFTS MIDWIFERY & BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HRDLICHKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-218-5769
Mailing Address - Street 1:1817 JESSUP DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2550
Mailing Address - Country:US
Mailing Address - Phone:866-218-5769
Mailing Address - Fax:866-218-5769
Practice Address - Street 1:1817 JESSUP DR FARMS
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:928-925-0885
Practice Address - Fax:866-218-5769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's HealthGroup - Multi-Specialty