Healthcare Provider Details

I. General information

NPI: 1285117804
Provider Name (Legal Business Name): COMMUNITY BIRTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 06/08/2024
Certification Date: 06/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 NE 8TH AVE
NORTH MIAMI BEACH FL
33162-3618
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:
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