THE BIRTH HOUSE, LLC (NPI# 1265692602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265692602 |
| Entity Type | Organization |
| Organization Name | THE BIRTH HOUSE, LLC |
| Practice Address |
28 S High St Bridgton ME 04009-1110 |
| Practice Telephone | 2076475919 |
| Practice Fax Number | 2076475919 |
| Mailing Telephone | 2076475919 |
| Mailing Fax Number | 2076475919 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | HEIDI FILLMORE-PATRICK (MEMBER-MANAGER) |
| Authorized Official Telephone | 2076475919 |
| Authorized Official Credential | CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336377886 | The Birth House, LLC | Clinic/Center | 2120 Pacific Ave Se, Olympia, WA 98506-4753 | 2009-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE BIRTH HOUSE, LLC | 2120 Pacific Ave Se, Olympia, WA 98506-4753 |
| Street Address |
28 S HIGH ST |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346370145 | Heidi Beth Fillmore | Midwife | 28 S High St, Bridgton, ME 04009-1110 | 2007-03-07 |
| 1558755694 | Birthwise | Clinic/Center | 28 S High St, Bridgton, ME 04009-1110 | 2015-03-26 |
| 1952652448 | Jacqueline Marie Dubord | Midwife | 28 S High St, Bridgton, ME 04009-1110 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| 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. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558755694 | Birthwise | Clinic/Center | 28 S High St, Bridgton, ME 04009-1110 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639547185 | Close To Home Birth Center | Clinic/Center | 214 Hammond St, Bangor, ME 04401-4644 | 2015-09-14 |
| 1760805907 | Birth Center At Northern Sun | Clinic/Center | 53 Main St, Topsham, ME 04086-1234 | 2014-01-23 |
Please comment or provide details below to improve the information on THE BIRTH HOUSE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.