Provider Demographics
NPI:1871884841
Name:NEW LIFE BIRTH CENTER
Entity type:Organization
Organization Name:NEW LIFE BIRTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CHAIR OF BOARD
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:540-489-4064
Mailing Address - Street 1:180 LAKEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-2903
Mailing Address - Country:US
Mailing Address - Phone:540-798-4064
Mailing Address - Fax:
Practice Address - Street 1:180 LAKEWOOD CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-2903
Practice Address - Country:US
Practice Address - Phone:540-798-4064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty