Healthcare Provider Details

I. General information

NPI: 1285107854
Provider Name (Legal Business Name): PRECIOUS PATHWAYS BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22990 HUCKLEBERRY LN
MIDDLETON ID
83644-6185
US

IV. Provider business mailing address

22990 HUCKLEBERRY LN
MIDDLETON ID
83644-6185
US

V. Phone/Fax

Practice location:
  • Phone: 760-953-0060
  • Fax: 760-513-9986
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN LEE ALLEC
Title or Position: OWNER/MIDWIFE
Credential: LM
Phone: 760-953-0060