Organization Active NPI

Avanlee Birth and Maternity Center

  • Birthing Clinic/Center
  • Killeen, TX
National Provider Identifier
1861617540
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
008360 Issued in TX
Legal business name
AVANLEE BIRTH AND MATERNITY CENTER
Practice address
811 S W S Young Dr
Killeen, TX 76543-4801
Phone
(254) 690-5900
Fax
(254) 690-5908
NPI assigned
Apr 16, 2007
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Mr. Jonathan Graham Bennett
Title
Administrator
Phone
(254) 690-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 008360 TX Primary

Addresses

Primary practice location

811 S W S Young Dr
Killeen, TX 76543-4801

Mailing address

811 S W S Young Dr
Killeen, TX 76543-4801
Phone (254) 690-5900

National Provider Directory

National Provider Directory

Locations

811 S W S Young Dr
Killeen, TX 76543
Phone (254) 690-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1861617540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-690-5900",
            "fax_number": "254-690-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-690-5900",
            "fax_number": "254-690-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANLEE BIRTH AND MATERNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-690-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "008360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.