THE BRIDGE BIRTH CENTER
NPI 1962157628
Clinic/Center - Birthing in Vancouver, WA
- Organization
- Clinic/Center
- Birthing
- CLIA Number: 50D2254866
- CLIA Cert. Type: Other - BIRTH CENTER
- CLIA Exp. Date: 04-04-2028
About THE BRIDGE BIRTH CENTER
This page provides the complete NPI Profile along with additional information for The Bridge Birth Center, a provider established in Vancouver, Washington operating as a Clinic/center, focusing in birthing . The healthcare provider is registered in the NPI registry with number 1962157628 assigned on February 2022. The practitioner's primary taxonomy code is 261QB0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Lynette Michelle Petibone Lm (Member/manager/clinician)
- NPI
- 1962157628 Verify this NPI
- Provider Name
- THE BRIDGE BIRTH CENTER
- Entity Type
- Organization
- Location Address
- 3300 NE 54TH ST VANCOUVER, WA 98663
- Location Phone
- (206) 552-0061
- Location Fax
- (844) 822-7441
- Mailing Address
- 7720 NE HIGHWAY 99 # D441 VANCOUVER, WA 98665
- Mailing Phone
- (206) 552-0061
- Mailing Fax
- (844) 822-7441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-21-2022
- Last Update Date
- 02-21-2022
- 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.
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
- 50D2254866
- Facility Type
- Other - BIRTH CENTER
- Certificate Effective Date
- July 01, 2025
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- LYNETTE PETTIBONE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Bridge Birth Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962157628, enumerated as an "organization" on February 21, 2022.
The provider is located at 3300 NE 54TH ST VANCOUVER, WA 98663 and the phone number is (206) 552-0061.
Clinic/Center with taxonomy code 261QB0400X and a focus in Birthing.
