Active NPI
Lebanon Valley Midwifery & Women'S Wellness, LLC
- Birthing Clinic/Center
- Womelsdorf, PA
National Provider Identifier
1184035339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- LEBANON VALLEY MIDWIFERY & WOMEN'S WELLNESS, LLC
- Practice address
- 770 Host Rd
Womelsdorf, PA 19567-9100 - Phone
- (717) 933-9743
- Fax
- (717) 933-8289
- NPI assigned
- May 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Farrell, CNM
- Title
- Owner
- Phone
- (717) 933-9743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
770 Host Rd
Womelsdorf, PA 19567-9100
Mailing address
770 Host Rd
Womelsdorf, PA 19567-9100
Phone (717) 933-9743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102422745 0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399593600000",
"number": "1184035339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 HOST RD",
"city": "WOMELSDORF",
"state": "PA",
"postal_code": "195679100",
"telephone_number": "717-933-9743",
"fax_number": "717-933-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HOST RD",
"city": "WOMELSDORF",
"state": "PA",
"postal_code": "195679100",
"telephone_number": "717-933-9743",
"fax_number": "717-933-8289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON VALLEY MIDWIFERY & WOMEN'S WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-933-9743",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102422745 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Womelsdorf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.