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PIONEER BIRTH AND FAMILY CARE CENTER PLLC NPI 1457759250


NPI Information

NPI: 1457759250
Provider Name: PIONEER BIRTH AND FAMILY CARE CENTER, PLLC
Classification: Clinic/Center - 261QB0400X
Entity Type: Organization

Specialization: Birthing

CLIA Number: 49D2283894

Address:
2692 POPE RD
IVANHOE, VA
ZIP 24350
Phone: (276) 637-3040
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PIONEER BIRTH AND FAMILY CARE CENTER, PLLC is a birthing clinic center in Ivanhoe, VA. 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. PIONEER BIRTH AND FAMILY CARE CENTER, PLLC NPI is 1457759250. The provider is registered as an organization entity type.

The provider's business location address is:

2692 POPE RD
IVANHOE, VA
ZIP 24350-614
Phone: (276) 637-3040
Fax: (276) 637-3041

The provider's authorized official is Sherrie Jeaniene Doss .
The authorized official title is President and has the following contact phone number (276) 620-6341.

The CLIA number assigned to this NPI record is 49D2283894 - mobile laboratory with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/9/2014 and was last updated on 12/9/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QB0400XClinic/CenterBirthingYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11285628834MEDICAIDVIRGINIA

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: 5/5/2024

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