NPIMap

Organization Active NPI

Shasta Midwives Birth Center Inc

  • Birthing Clinic/Center
  • Mount Shasta, CA
National Provider Identifier
1194170621
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
166 Issued in CA
Legal business name
SHASTA MIDWIVES BIRTH CENTER INC
Practice address
703 S a St
Mount Shasta, CA 96067-2704
Phone
(530) 918-9433
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Wolcott, LMNPI 1952334278
Title
Owner/Director
Phone
(530) 918-5746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 166 CA Primary

Addresses

Primary practice location

703 S a St
Mount Shasta, CA 96067-2704

Mailing address

703 S a St
Mount Shasta, CA 96067-2704
Phone (530) 918-9433

National Provider Directory

National Provider Directory

Locations

703 S A St
Mount Shasta, CA 96067
Phone (530) 926-4594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1194170621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S A ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672704",
            "telephone_number": "530-918-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S A ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672704",
            "telephone_number": "530-918-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA MIDWIVES BIRTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "530-918-5746",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.