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IMMANUEL BIRTH CO. P.A. NPI 1366419392


NPI Information

NPI: 1366419392
Provider Name: IMMANUEL BIRTH CO., P.A.
Classification: Clinic/Center - 261QB0400X
Entity Type: Organization

Specialization: Birthing

CLIA Number: 17D2111406

Address:
1109 SW TOPEKA BLVD
TOPEKA, KS
ZIP 66612
Phone: (785) 232-6950
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IMMANUEL BIRTH CO., P.A. is a birthing clinic center in Topeka, KS. The provider is a freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. IMMANUEL BIRTH CO., P.A. NPI is 1366419392. The provider is registered as an organization entity type.

The provider's business location address is:

1109 SW TOPEKA BLVD
TOPEKA, KS
ZIP 66612-602
Phone: (785) 232-6950
Fax: (785) 232-4722

The provider's authorized official is Kelly A Greene .
The authorized official title is Office Administrator and has the following contact phone number (785) 232-6950.

The CLIA number assigned to this NPI record is 17D2111406 - other - birth center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2006 and was last updated on 2/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QB0400XClinic/CenterBirthing0011686-002KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100356600AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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