MEDICARE: BIRTHCARE & WOMENS HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	APN 7160	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942566773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRTHCARE & WOMENS HEALTH

Provider Business Mailing Address
First Line	:	2130 CHAMBLISS AVE NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3839
Country	:	US
Telephone Number	:	423-728-2344
Fax Number	:	423-728-2337

Provider Business Practice Location Address
First Line	:	2130 CHAMBLISS AVE NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3839
Country	:	US
Telephone Number	:	423-728-2344
Fax Number	:	423-728-2337

Authorized Official
Title or Position	:	OWNER
Name	:	LEE ANN STABLER
Credential	:	CNM
Telephone Number	:	423-728-2344

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	05/18/2016

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