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SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR NPI 1912213372


NPI Information

NPI: 1912213372
Provider Name: SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR

Doing Business As: MOUNT VERNON BIRTH CENTER

Classification: Clinic/Center - 261QB0400X
Entity Type: Organization

Specialization: Birthing

CLIA Number: 50D2301312

Address:
916 S 3RD ST
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 336-9997
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SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR is a birthing clinic center in Mount Vernon, WA. The provider is a freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR NPI is 1912213372. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Vernon Birth Center.

The provider's business location address is:

916 S 3RD ST
MOUNT VERNON, WA
ZIP 98273-324
Phone: (360) 336-9997
Fax: (360) 336-5655

The provider's authorized official is Michelle Ann Antonich .
The authorized official title is Director and has the following contact phone number (360) 336-9997.

The CLIA number assigned to this NPI record is 50D2301312 - other - free standing birth cente with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 9/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QB0400XClinic/CenterBirthingCBC.FS.60172666WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12008959MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.