Healthcare Provider Details

I. General information

NPI: 1902543937
Provider Name (Legal Business Name): COMMUNITY BIRTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6618 CRYSTAL DOWNS DR UNIT 206
WINDSOR CO
80550-7175
US

IV. Provider business mailing address

216 TOWER RD
SAN ANTONIO TX
78223-6018
US

V. Phone/Fax

Practice location:
  • Phone: 800-341-8598
  • Fax: 866-399-0991
Mailing address:
  • Phone: 800-341-8598
  • Fax: 866-399-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ERIKA LEWIS
Title or Position: OFFICE STAFF
Credential:
Phone: 800-341-8598