Provider Demographics
NPI:1902543937
Name:COMMUNITY BIRTH GROUP
Entity type:Organization
Organization Name:COMMUNITY BIRTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-341-8598
Mailing Address - Street 1:216 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-6018
Mailing Address - Country:US
Mailing Address - Phone:800-341-8598
Mailing Address - Fax:866-399-0991
Practice Address - Street 1:6618 CRYSTAL DOWNS DR UNIT 206
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-7175
Practice Address - Country:US
Practice Address - Phone:800-341-8598
Practice Address - Fax:866-399-0991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY BIRTH GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-20
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty