Healthcare Provider Details

I. General information

NPI: 1376763136
Provider Name (Legal Business Name): WOMEN'S BIRTH AND WELLNESS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 MARTIN LUTHER KING JR BLVD STE. 202
CHAPEL HILL NC
27514-2656
US

IV. Provider business mailing address

930 MARTIN LUTHER KING JR BLVD STE. 202
CHAPEL HILL NC
27514-2656
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-3301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier208391
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerMEDCOST GROUP #
# 2
Identifier7000091
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer
# 3
Identifier002419079001
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerUNITED HEALTHCARE GROUP #
# 4
Identifier3409985
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer
# 5
Identifier015PN
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerBLUE CROSS GROUP #

VIII. Authorized Official

Name: MAUREEN DARCEY
Title or Position: DIRECTOR OF MIDWIFERY SERVICES
Credential: CNM
Phone: 919-933-3301