Provider Demographics
NPI:1386931913
Name:THE BIRTHING PLACE
Entity type:Organization
Organization Name:THE BIRTHING PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GRAPPERHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:540-941-8156
Mailing Address - Street 1:182 SPOTNAP RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8661
Mailing Address - Country:US
Mailing Address - Phone:434-471-0419
Mailing Address - Fax:866-807-7989
Practice Address - Street 1:182 SPOTNAP RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8661
Practice Address - Country:US
Practice Address - Phone:434-471-0419
Practice Address - Fax:866-807-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-04
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing