Provider Demographics
NPI:1285107854
Name:PRECIOUS PATHWAYS BIRTH CENTER
Entity type:Organization
Organization Name:PRECIOUS PATHWAYS BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ALLEC
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:760-953-0060
Mailing Address - Street 1:22990 HUCKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-6185
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18031 US HIGHWAY 18 STE B
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2152
Practice Address - Country:US
Practice Address - Phone:760-953-0976
Practice Address - Fax:760-513-9986
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECIOUS PATHWAYS MIDWIFERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-07
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty