Provider Demographics
NPI:1104584283
Name:SPRINGWELL BIRTH CENTER
Entity type:Organization
Organization Name:SPRINGWELL BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MACE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-852-3015
Mailing Address - Street 1:1450 E 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-1709
Mailing Address - Country:US
Mailing Address - Phone:541-852-3015
Mailing Address - Fax:
Practice Address - Street 1:618 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2541
Practice Address - Country:US
Practice Address - Phone:541-343-3455
Practice Address - Fax:541-343-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty