Organization Active NPI

Lebanon Valley Midwifery & Women'S Wellness, LLC

  • Birthing Clinic/Center
  • Womelsdorf, PA
National Provider Identifier
1184035339
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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

Updated by the provider on May 9, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102422745 0001MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.