Provider Demographics
NPI:1548835499
Name:OKC BIRTH CENTER
Entity type:Organization
Organization Name:OKC BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:405-413-7337
Mailing Address - Street 1:814 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6827
Mailing Address - Country:US
Mailing Address - Phone:405-413-7337
Mailing Address - Fax:
Practice Address - Street 1:814 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6827
Practice Address - Country:US
Practice Address - Phone:405-413-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing