MEDICARE: BABY AND COMPANY WINSTON SALEM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QB0400X	Birthing Clinic/Center

General Provider Information

NPI Number	:	1316480700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY AND COMPANY WINSTON SALEM LLC

Provider Business Mailing Address
First Line	:	1345 AVENUE OF THE AMERICAS
Second Line	:	45TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10105-0302
Country	:	US
Telephone Number	:	919-307-4402
Fax Number	:	919-977-9344

Provider Business Practice Location Address
First Line	:	200 CHARLOIS BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-1536
Country	:	US
Telephone Number	:	336-308-3447
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	CARA OSBORNE
Credential	:	CNM, SD
Telephone Number	:	617-504-6242

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	10/04/2017

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