Provider Demographics
NPI:1346748605
Name:BIRTHRIGHT MIDWIFERY LLC
Entity Type:Organization
Organization Name:BIRTHRIGHT MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:225-270-1012
Mailing Address - Street 1:6548 COTTONWOOD TREE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-4080
Mailing Address - Country:US
Mailing Address - Phone:225-270-1012
Mailing Address - Fax:
Practice Address - Street 1:150 S PERRY ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-4227
Practice Address - Country:US
Practice Address - Phone:225-270-1012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0991122367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty