Provider Demographics
NPI:1962568428
Name:THE BIRTH CENTER
Entity type:Organization
Organization Name:THE BIRTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRECHBIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-381-3009
Mailing Address - Street 1:918 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2502
Mailing Address - Country:US
Mailing Address - Phone:610-525-6088
Mailing Address - Fax:610-525-6631
Practice Address - Street 1:918 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2502
Practice Address - Country:US
Practice Address - Phone:610-525-6088
Practice Address - Fax:610-525-6631
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BIRTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-29
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WL0100X, 363LX0001X
PA80053300176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00110472170002Medicaid
PA01047217-02Medicaid
PA4472880OtherAETNA
PA8186OtherAMERIHEALTH ADMIN
PATH1305983OtherPERSONAL CHOICE PROF
PATH1305983OtherBLUE SHIELD PROFESSIONAL
PA8186OtherAMERIHEALTH ADMIN