Organization Active NPI

Labor of Love Birth Center, Inc.

  • Birthing Clinic/Center
  • Tyler, TX
National Provider Identifier
1568616571
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
008716 Issued in TX
Legal business name
LABOR OF LOVE BIRTH CENTER, INC.
Practice address
421 S Bonner Ave
Tyler, TX 75702-8034
Phone
(903) 526-2600
Fax
(903) 526-2605
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mrs. Vicky Marie Wells, CPM,LMNPI 1255513792
Title
President/Co-Owner
Phone
(903) 526-2600

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 008716 TX Primary

Addresses

Primary practice location

421 S Bonner Ave
Tyler, TX 75702-8034

Mailing address

421 S Bonner Ave
Tyler, TX 75702-8034
Phone (903) 526-2600

Other identifiers 1

IdentifierTypeStateIssuer
3338055MedicaidTX

National Provider Directory

National Provider Directory

Locations

421 S Bonner Ave
Tyler, TX 75702
Phone (903) 526-2600

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1568616571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S BONNER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028034",
            "telephone_number": "903-526-2600",
            "fax_number": "903-526-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S BONNER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028034",
            "telephone_number": "903-526-2600",
            "fax_number": "903-526-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABOR OF LOVE BIRTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "903-526-2600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM,LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "008716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338055",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.