Organization
SHASTA MIDWIVES BIRTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WOLCOTT LM (OWNER/DIRECTOR)
(530) 918-5746
Entity
Organization
Contact information
Practice address
703 S A ST, MOUNT SHASTA, CA 96067-2704
(530) 918-9433
Mailing address
703 S A ST, MOUNT SHASTA, CA 96067-2704
(530) 918-9433
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
166
CA
Other
Enumeration date
05/03/2016
Last updated
05/08/2019
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