Healthcare Provider Details

I. General information

NPI: 1912690397
Provider Name (Legal Business Name): SACRED BIRTH MIDWIFERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CENTER ST
NORTHAMPTON MA
01060-3589
US

IV. Provider business mailing address

9 WORCESTER AVE
TURNERS FALLS MA
01376-1517
US

V. Phone/Fax

Practice location:
  • Phone: 508-341-7191
  • Fax: 413-315-5562
Mailing address:
  • Phone: 508-341-7191
  • Fax: 413-315-5562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CORLISS BECK
Title or Position: MIDWIFE
Credential: CPM
Phone: 508-341-7191