Provider Demographics
NPI:1154571354
Name:PRINCETON BAPTIST MEDICAL CENTER
Entity type:Organization
Organization Name:PRINCETON BAPTIST MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED CHILDBIRTH EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-783-7174
Mailing Address - Street 1:701 PRINCETON AVE SW
Mailing Address - Street 2:DEPT. OF WOMEN AND INFANTS
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1303
Mailing Address - Country:US
Mailing Address - Phone:205-783-7174
Mailing Address - Fax:205-783-3030
Practice Address - Street 1:701 PRINCETON AVE SW
Practice Address - Street 2:DEPT. OF WOMEN AND INFANTS
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1303
Practice Address - Country:US
Practice Address - Phone:205-783-7174
Practice Address - Fax:205-783-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2083P0901X282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital