Healthcare Provider Details

I. General information

NPI: 1376011221
Provider Name (Legal Business Name): COMMUNITY BIRTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 06/08/2024
Certification Date: 06/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41B ELSMERE BLVD
WILMINGTON DE
19805-4105
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: 800-341-8598
Mailing address:
  • Phone: 800-341-8598
  • Fax: 210-547-9603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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