Basic Information
| Provider Information | |||||||||
| NPI: | 1376763136 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOMEN'S BIRTH AND WELLNESS CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 930 MARTIN LUTHER KING JR BLVD | ||||||||
| Address2: | STE. 202 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275142656 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 930 MARTIN LUTHER KING JR BLVD | ||||||||
| Address2: | STE. 202 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275142656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199333301 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2007 | ||||||||
| LastUpdateDate: | 03/11/2009 | ||||||||
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| AuthorizedOfficialLastName: | DARCEY | ||||||||
| AuthorizedOfficialFirstName: | MAUREEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF MIDWIFERY SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 9199333301 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CNM | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QB0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Birthing |
ID Information
| ID | Type | State | Issuer | Description | 208391 | 01 | NC | MEDCOST GROUP # | OTHER | 7000091 | 05 | NC | MEDICAID | 002419079001 | 01 | NC | UNITED HEALTHCARE GROUP # | OTHER | 3409985 | 05 | NC | MEDICAID | 015PN | 01 | NC | BLUE CROSS GROUP # | OTHER |