Provider Demographics
NPI:1952086993
Name:BELLE GROVE BIRTH CENTER
Entity type:Organization
Organization Name:BELLE GROVE BIRTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:540-622-7069
Mailing Address - Street 1:315 W 10TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2812
Mailing Address - Country:US
Mailing Address - Phone:540-622-7069
Mailing Address - Fax:
Practice Address - Street 1:315 W 10TH ST STE A
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2812
Practice Address - Country:US
Practice Address - Phone:540-622-7069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHENANDOAH MIDWIFERY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-19
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing