Provider Demographics
NPI:1053858506
Name:BIRTH WORKS LLC MIDWIFERY CARE & WOMANS WELLNESS
Entity Type:Organization
Organization Name:BIRTH WORKS LLC MIDWIFERY CARE & WOMANS WELLNESS
Other - Org Name:BIRTH WORKS MIDWIFERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:660-441-8818
Mailing Address - Street 1:101 BARNES ST
Mailing Address - Street 2:
Mailing Address - City:PILOT GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65276-1162
Mailing Address - Country:US
Mailing Address - Phone:660-441-8818
Mailing Address - Fax:
Practice Address - Street 1:101 BARNES ST
Practice Address - Street 2:
Practice Address - City:PILOT GROVE
Practice Address - State:MO
Practice Address - Zip Code:65276-1162
Practice Address - Country:US
Practice Address - Phone:660-441-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health