Countryside Birthing Place Inc

LBN: Countryside Birthing Place Inc
Countryside Birthing Place Inc is an health care organization with primary practice located at 3060 Jones Ln , Clearwater FL 33759-1603. The organization recently has only one registered license in Ambulatory Health Care Facilities / Birthing, which is considered as the primary health care specialty. Countryside Birthing Place Inc can be contacted via phone (727) 796-7502, or through Tregillus, Shirley J via phone (727) 796-7502.

Contact Information

Primary practice address
3060 Jones Ln Clearwater FL 33759-1603
Phone: (727) 796-7502
Fax: (727) 796-7072
Website:
Map and Directions
Authorized official contact:
Name: Tregillus, Shirley J Licensed Midwife (LM)
Phone: (727) 796-7502

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Birthing 261QB0400X 337 Florida

Profile Details

NPI number 1750497830
LBN Legal business name Countryside Birthing Place Inc
DBA Doing business as
Authorized official Tregillus, Shirley J Licensed Midwife (LM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 29th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750497830 NPPES
Florida MEDICAID 011140400

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