MEDICARE: SAIGE BIRTH CENTER, 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	:	1417675216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAIGE BIRTH CENTER, LLC

Provider Business Mailing Address
First Line	:	6024 MAGAZINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5824
Country	:	US
Telephone Number	:	504-459-2426
Fax Number	:	504-285-2226

Provider Business Practice Location Address
First Line	:	6024 MAGAZINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5824
Country	:	US
Telephone Number	:	504-459-2426
Fax Number	:	504-285-2226

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY LEE DIETRICH
Credential	:	LM
Telephone Number	:	805-548-0606

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	08/17/2022

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Directions to “SAIGE BIRTH CENTER, LLC ” Practice Location

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