Provider Demographics
NPI:1376077651
Name:INDIANA CUDDLE COT CAMPAIGN
Entity Type:Organization
Organization Name:INDIANA CUDDLE COT CAMPAIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:R
Authorized Official - Last Name:IRVINE
Authorized Official - Suffix:
Authorized Official - Credentials:SBD, AAS, CMA (AAMA)
Authorized Official - Phone:937-733-9252
Mailing Address - Street 1:1306 BOYER ST
Mailing Address - Street 2:PO BOX 2293
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1802
Mailing Address - Country:US
Mailing Address - Phone:937-733-9252
Mailing Address - Fax:
Practice Address - Street 1:1306 BOYER ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1802
Practice Address - Country:US
Practice Address - Phone:937-733-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INSBD20110344374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty