TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC (NPI# 1487993341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487993341 |
| Entity Type | Organization |
| Organization Name | TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC |
| Practice Address |
1453 Redwood Cir Grants Pass OR 97527-5523 |
| Mailing Address |
400 Crater Lake Ave Medford OR 97504-6808 |
| Practice Telephone | 5414794483 |
| Practice Fax Number | 5414790830 |
| Mailing Telephone | 5417722291 |
| Mailing Fax Number | 5412450417 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | AUGUSTINE F COLEBROOK (OWNER, DIRECTOR, MIDWIFE) |
| Authorized Official Telephone | 5417722291 |
| Authorized Official Credential | CPM, LM |
| Is Organization Subpart | Y |
| Parent Organization Name | TRILLIUM WATERBIRTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
OR | Ambulatory Health Care Facilities |
| Street Address |
1453 REDWOOD CIR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780887885 | Amy Catherine Hendrickson | Midwife, Lay | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2007-06-06 |
| 1891302220 | Cassie Lee Grant | Massage Therapist | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2020-09-29 |
| 1295350809 | Lydia Mariah Douglas | Midwife | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2020-06-09 |
| 1982058491 | Rogue Birth Center LLC | Clinic/Center | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2016-04-20 |
| 1245611458 | Willa Anne Woodard Ervin | Midwife | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1982058491 | Rogue Birth Center LLC | Clinic/Center | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641642 | Astoria Birth Center | Clinic/Center | 1406 Marine Dr, Astoria, OR 97103-3808 | 2020-05-19 |
| 1114496783 | Private Healthcare Facilities | Clinic/Center | 1803 Main St # A, Klamath Falls, OR 97601-2636 | 2018-11-13 |
| 1518370154 | Andaluz Birth Center | Clinic/Center | 21865 Ne Hidden Springs Rd, Dundee, OR 97115-9124 | 2014-06-10 |
| 1487978102 | Balanced Birth Midwifery, LLC | Clinic/Center | 6245 E Burnside St, Portland, OR 97215-1312 | 2010-03-24 |
| 1669704052 | Home Sweet Home Birth Center, LLC | Clinic/Center | 3013 N North Bank Rd, Otis, OR 97368-9754 | 2010-02-09 |
| 1407185689 | Klamath Women's Clinic,llc | Clinic/Center | 1803 Main St, Klamath Falls, OR 97601-2636 | 2009-12-16 |
| 1689739708 | Sacred Waters Birthing Center, Inc | Clinic/Center | 2035 W 12th Ave, Eugene, OR 97402-3522 | 2006-12-27 |
| 1316585953 | Believing In Birth Birth Center | Clinic/Center | 502 N 1st St, Silverton, OR 97381-1402 | 2019-12-13 |
| 1386294783 | Corvallis Birth and Women's Health Center, LLC | Clinic/Center | 2314 Nw Kings Blvd Ste A, Corvallis, OR 97330-3925 | 2019-09-17 |
| 1871088039 | Klamath Birth Center | Clinic/Center | 1803 Main St, Klamath Falls, OR 97601-2636 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC.
| 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.