NPIMap

Organization Active NPI

Greenbank Women'S Clinic and Birth Center, Limited

  • Midwife
  • Greenbank, WA
National Provider Identifier
1396864823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW00000126 Issued in WA
Legal business name
GREENBANK WOMEN'S CLINIC AND BIRTH CENTER, LIMITED
Practice address
3455 Old County Road
Greenbank, WA 98253
Phone
(360) 678-3594
Fax
(360) 678-3594
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cynthia Beth Jaffe, LMNPI 1780735498
Title
Licensed Midwife
Phone
(360) 678-3594

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
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW00000126 WA Primary

Addresses

Primary practice location

3455 Old County Road
Greenbank, WA 98253

Mailing address

PO Box 67
Greenbank, WA 98253-0067
Phone (360) 678-3594

National Provider Directory

National Provider Directory
Tax ID family
Greenbank Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396864823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "GREENBANK",
            "state": "WA",
            "postal_code": "982530067",
            "telephone_number": "360-678-3594",
            "fax_number": "360-678-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 OLD COUNTY ROAD",
            "city": "GREENBANK",
            "state": "WA",
            "postal_code": "98253",
            "telephone_number": "360-678-3594",
            "fax_number": "360-678-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBANK WOMEN'S CLINIC AND BIRTH CENTER, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "360-678-3594",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW00000126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbank, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.