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TREE OF LIFE FAMILY BIRTH CENTER NPI 1962991687


NPI Information

NPI: 1962991687
Provider Name: TREE OF LIFE FAMILY BIRTH CENTER
Classification: Clinic/Center - 261QB0400X
Entity Type: Organization

Specialization: Birthing

CLIA Number: 15D2151713

Address:
1214 SPRING ST
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 920-1580
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TREE OF LIFE FAMILY BIRTH CENTER is a birthing clinic center in Jeffersonville, IN. 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. TREE OF LIFE FAMILY BIRTH CENTER NPI is 1962991687. The provider is registered as an organization entity type.

The provider's business location address is:

1214 SPRING ST
JEFFERSONVILLE, IN
ZIP 47130-704
Phone: (812) 920-1580

The provider's authorized official is Elizabeth Ann Quinkert .
The authorized official title is Administrative Director and has the following contact phone number (812) 920-1580.

The CLIA number assigned to this NPI record is 15D2151713 - other - birth center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2018 and was last updated on 5/8/2018.


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/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200201490AMEDICAIDINDIANA

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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