LEGACY CENTER FOR BIRTH AND WELLNESS
NPI 1306730635
Clinic/Center - Birthing in Flagstaff, AZ
- Organization
- Clinic/Center
- Birthing
- CLIA Number: 03D2331141
- CLIA Cert. Type: Other - BIRTH CENTER
- CLIA Exp. Date: 09-25-2027
About LEGACY CENTER FOR BIRTH AND WELLNESS
This page provides the complete NPI Profile along with additional information for Legacy Center For Birth And Wellness, a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in birthing . The healthcare provider is registered in the NPI registry with number 1306730635 assigned on June 2025. The practitioner's primary taxonomy code is 261QB0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Krystal Harris Cpm (Office Manager)
- NPI
- 1306730635 Verify this NPI
- Provider Name
- LEGACY CENTER FOR BIRTH AND WELLNESS
- Entity Type
- Organization
- Location Address
- 555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001
- Location Phone
- (928) 779-6064
- Location Fax
- (928) 773-9694
- Mailing Address
- 555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001
- Mailing Phone
- (928) 779-6064
- Mailing Fax
- (928) 773-9694
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2025
- Last Update Date
- 06-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Birthing
- Taxonomy Code
- 261QB0400X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2331141
- Facility Type
- Other - BIRTH CENTER
- Certificate Effective Date
- September 26, 2025
- Certificate Expiration Date
- September 25, 2027
- Laboratory Director
- MARGARET A. KLINE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Legacy Center For Birth And Wellness in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306730635, enumerated as an "organization" on June 03, 2025.
The provider is located at 555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001 and the phone number is (928) 779-6064.
Clinic/Center with taxonomy code 261QB0400X and a focus in Birthing.
