# THRIVE BIRTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063899904
- **Authorized official:** CAITLIN MARIE KIRKMAN L.M., C.P.M. (CEO)
- **Authorized official phone:** (707) 387-2088

## Contact information

- **Practice address:** 4859 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
- **Practice address phone:** (707) 387-2088
- **Mailing address:** 4859 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | LM355 | CA | Yes |
| 176B00000X | Midwife | LM408 | CA | — |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/29/2015