Provider Demographics
NPI:1528629797
Name:BIRTH CENTER OPERATIONS, LLC
Entity type:Organization
Organization Name:BIRTH CENTER OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-222-7401
Mailing Address - Street 1:9835 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2347
Mailing Address - Country:US
Mailing Address - Phone:260-222-7401
Mailing Address - Fax:
Practice Address - Street 1:9835 AUBURN RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2347
Practice Address - Country:US
Practice Address - Phone:260-222-7401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing