Provider Demographics
NPI:1346658150
Name:TRILLIUM MIDWIFERY SERVICES LLP
Entity Type:Organization
Organization Name:TRILLIUM MIDWIFERY SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPM, LM
Authorized Official - Phone:608-306-0147
Mailing Address - Street 1:1109 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BOSCOBEL
Mailing Address - State:WI
Mailing Address - Zip Code:53805-1636
Mailing Address - Country:US
Mailing Address - Phone:608-736-2229
Mailing Address - Fax:608-492-3524
Practice Address - Street 1:1109 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BOSCOBEL
Practice Address - State:WI
Practice Address - Zip Code:53805-1636
Practice Address - Country:US
Practice Address - Phone:608-736-2229
Practice Address - Fax:608-492-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty