Healthcare Provider Details

I. General information

NPI: 1457936122
Provider Name (Legal Business Name): THE BIRTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 LINCOLN AVE
NAPA CA
94558-3610
US

IV. Provider business mailing address

2053 LONE OAK AVE
NAPA CA
94558-4620
US

V. Phone/Fax

Practice location:
  • Phone: 707-287-2822
  • Fax:
Mailing address:
  • Phone: 707-287-2822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAULA M SCHNEBELT
Title or Position: LEAD MIDWIFE
Credential: LM, CPM
Phone: 707-287-2822