OrganizationActive
Private Healthcare Facilities
NPI 1619623238 · Birthing Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1619623238
- Entity type
- Organization
- Primary specialty
- Birthing Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Private Healthcare Facilities
- Organization subpart
- Yes
- Authorized official
- Priscilla Hollingsworth, Office Staff(866) 996-2340
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1814 E Kael St
Mesa, AZ 85203-2160
Phone: (866) 996-2340
Fax: (866) 399-0991
Approximate (ZIP-level) locationGet directions
Mailing address
902 Kitty Hawk Rd # 170487
Universal City, TX 78148-3825
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2024-12-22
- Certified
- 2024-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.