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NPI Code Detail

MEDICARE: BIRTH CENTER OPERATIONS, LLC

MEDICARE: BIRTH CENTER OPERATIONS, 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
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1528629797
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRTH CENTER OPERATIONS, LLC
Provider Business Mailing Address
First Line : 9835 AUBURN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-2347
Country : US
Telephone Number : 260-222-7401
Fax Number :
Provider Business Practice Location Address
First Line : 9835 AUBURN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-2347
Country : US
Telephone Number : 260-222-7401
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER BYRON STROUD
Credential : MD
Telephone Number : 260-222-7401
Provider Enumeration Date : 06/27/2019
Last Update Date : 06/27/2019

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Directions to “BIRTH CENTER OPERATIONS, LLC ” Practice Location

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