Organization Active NPI

Skagit Family Health Clinic LLC Cowan Seth P MBR

Doing business as Mount Vernon Birth Center

  • Birthing Clinic/Center
  • Mount Vernon, WA
National Provider Identifier
1912213372
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
CBC.FS.60172666 Issued in WA
Legal business name
SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR
Doing business as
Mount Vernon Birth Center
Practice address
916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone
(360) 336-9997
Fax
(360) 336-5655
NPI assigned
Aug 24, 2010
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Michelle Ann AntonichNPI 1235276353
Title
Director
Phone
(360) 336-9997

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 CBC.FS.60172666 WA Primary

Addresses

Primary practice location

916 S 3Rd St
Mount Vernon, WA 98273-4324

Mailing address

916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone (360) 336-9997

Other identifiers 1

IdentifierTypeStateIssuer
2008959MedicaidWA

Other names 1

  • Mount Vernon Birth Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2301312Mount Vernon Birth Center916 S 3Rd St, Mount Vernon, WA 98273Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1912213372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734324",
            "telephone_number": "360-336-9997",
            "fax_number": "360-336-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734324",
            "telephone_number": "360-336-9997",
            "fax_number": "360-336-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "ANTONICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-336-9997"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "WA",
            "license": "CBC.FS.60172666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008959",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Birth Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Vernon Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.