# APPLETON COMMUNITY BIRTH CENTER

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

## Provider details

- **NPI number:** 1285980318
- **Authorized official:** MS. ANDREA RAINE LM, CPM (MIDWIFE)
- **Authorized official phone:** (920) 882-6200

## Contact information

- **Practice address:** 308 E NORTHLAND AVE, APPLETON, WI 54911-2163
- **Practice address phone:** (920) 882-6200
- **Practice address fax:** (920) 882-1798
- **Mailing address:** 308 E NORTHLAND AVE, APPLETON, WI 54911-2163
- **Mailing address phone:** (920) 882-6200
- **Mailing address fax:** (920) 882-1798

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2012
- **Last updated:** 07/26/2012