# FREDERICK BIRTH CENTER, L.L.C

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

## Provider details

- **NPI number:** 1245740570
- **Authorized official:** MRS. MYCHAL PILIA CNM (OWNER)
- **Authorized official phone:** (210) 577-8149

## Contact information

- **Practice address:** 7420 HAYWARD ROAD, SUITE 104, FREDERICK, MD 21702
- **Practice address phone:** (210) 577-8149
- **Practice address fax:** (240) 306-1483
- **Mailing address:** 5600 MOUNTAIN LAUREL DR, FREDERICK, MD 21702-2300
- **Mailing address phone:** 12105778149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2017
- **Last updated:** 03/21/2018