Trillium Waterbirth Center Redwood Clinic

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC

Practice address

1453 Redwood Cir
Grants Pass, OR 97527-5523

Phone

(541) 479-4483

Fax

(541) 479-0830

NPI assigned

Feb 12, 2013

Organization subpart

Yes

Parent organization

TRILLIUM WATERBIRTH CENTERAs reported in NPPES

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

Authorized official

Name

Augustine F Colebrook, CPM, LM

Title

Owner, Director, Midwife

Phone

(541) 772-2291

Specialties & licenses 1

Addresses

Tax ID family

Trillium Waterbirth Center2 organizations share this tax ID, including this one

Part of

Trillium Waterbirth Center

Other organizations with this tax ID 1

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

• Trillium Waterbirth Center

  • Birthing Clinic/Center
  • Medford, OR
  • NPI 1811284409
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Trillium Waterbirth Center

  • Birthing Clinic/Center
  • Medford, OR
  • NPI 1811284409
  NPPES parent name

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1487993341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-772-2291",
            "fax_number": "541-245-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 REDWOOD CIR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275523",
            "telephone_number": "541-479-4483",
            "fax_number": "541-479-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILLIUM WATERBIRTH CENTER",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "COLEBROOK",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, MIDWIFE",
        "authorized_official_telephone_number": "541-772-2291",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Birthing Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Birthing Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.