MEDICARE: BELLE GROVE BIRTH CENTER

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	:	1952086993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLE GROVE BIRTH CENTER

Provider Business Mailing Address
First Line	:	7760 MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	VA
Zip	:	22645-9500
Country	:	US
Telephone Number	:	540-622-7069
Fax Number	:	540-301-3572

Provider Business Practice Location Address
First Line	:	7760 MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	VA
Zip	:	22645-9500
Country	:	US
Telephone Number	:	540-622-7069
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MIDWIFE
Name	:	JENNIFER DAVIDSON
Credential	:	CPM, LM
Telephone Number	:	540-622-7069

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	03/02/2026

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Directions to “BELLE GROVE BIRTH CENTER ” Practice Location

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