Active NPI
Poplar Heights Birth and Wellness Center, LLP
Doing business as Poplar Heights Birth Center
- Birthing Clinic/Center
- Port Orchard, WA
National Provider Identifier
1215100060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- POPLAR HEIGHTS BIRTH AND WELLNESS CENTER, LLP
- Doing business as
- Poplar Heights Birth Center
- Practice address
- 215 Poplar Street
Port Orchard, WA 98366 - Phone
- (360) 329-6431
- NPI assigned
- Apr 11, 2008
- 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
- Mr. Kevin Michael Decker
- Title
- Manager
- Phone
- (360) 329-6431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
215 Poplar Street
Port Orchard, WA 98366
Mailing address
6954 SE Truman St
Port Orchard, WA 98366-8431
Other names 1
- Poplar Heights Birth Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1215100060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6954 SE TRUMAN ST",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983668431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 POPLAR STREET",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-329-6431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPLAR HEIGHTS BIRTH AND WELLNESS CENTER, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-329-6431",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Poplar Heights Birth Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.