Provider Demographics
NPI:1194574202
Name:ANACORTES BIRTH CENTER, LLC
Entity type:Organization
Organization Name:ANACORTES BIRTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE-MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:MCKITTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-298-8044
Mailing Address - Street 1:902 7TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4104
Mailing Address - Country:US
Mailing Address - Phone:360-298-8044
Mailing Address - Fax:216-930-5958
Practice Address - Street 1:902 7TH ST STE 103
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-4104
Practice Address - Country:US
Practice Address - Phone:360-298-8044
Practice Address - Fax:216-930-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing