Provider Demographics
NPI:1912690397
Name:SACRED BIRTH MIDWIFERY LLC
Entity Type:Organization
Organization Name:SACRED BIRTH MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:CORLISS
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:508-341-7191
Mailing Address - Street 1:9 WORCESTER AVE
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1517
Mailing Address - Country:US
Mailing Address - Phone:508-341-7191
Mailing Address - Fax:413-315-5562
Practice Address - Street 1:16 CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3589
Practice Address - Country:US
Practice Address - Phone:508-341-7191
Practice Address - Fax:413-315-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty