Provider Demographics
NPI:1699151233
Name:TULSA BIRTH CENTER
Entity type:Organization
Organization Name:TULSA BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-716-6375
Mailing Address - Street 1:5932 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6506
Mailing Address - Country:US
Mailing Address - Phone:918-932-8164
Mailing Address - Fax:314-375-8570
Practice Address - Street 1:5932 E 43RD ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6506
Practice Address - Country:US
Practice Address - Phone:918-932-8164
Practice Address - Fax:314-375-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing