Healthcare Provider Details
I. General information
NPI: 1932740990
Provider Name (Legal Business Name): CINCINNATI BIRTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2019
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
841 LINCOLN AVE
CINCINNATI OH
45206-1132
US
IV. Provider business mailing address
841 LINCOLN AVE
CINCINNATI OH
45206-1132
US
V. Phone/Fax
- Phone: 513-399-7263
- Fax: 514-407-8021
- Phone: 513-399-7263
- Fax: 514-407-8021
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGHAN
KATHERINE
NOWLAND
Title or Position: OWNER
Credential: CPM, IBCLC
Phone: 513-399-7263