Healthcare Provider Details
I. General information
NPI: 1962941138
Provider Name (Legal Business Name): WNC BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
390 S FRENCH BROAD AVE
ASHEVILLE NC
28801-4364
US
IV. Provider business mailing address
PO BOX 58
ASHEVILLE NC
28802-0058
US
V. Phone/Fax
- Phone: 828-378-0075
- Fax: 828-378-0083
- Phone: 828-378-0075
- Fax: 828-378-0083
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
NANCY
SUSAN
KOERBER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-378-0075