Provider Demographics
NPI:1962941138
Name:WNC BIRTH CENTER
Entity type:Organization
Organization Name:WNC BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:KOERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-378-0075
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-0058
Mailing Address - Country:US
Mailing Address - Phone:828-378-0075
Mailing Address - Fax:828-378-0083
Practice Address - Street 1:390 S FRENCH BROAD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4364
Practice Address - Country:US
Practice Address - Phone:828-378-0075
Practice Address - Fax:828-378-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing