Provider Demographics
NPI:1437332897
Name:AROUND THE CIRCLE MIDWIFERY
Entity Type:Organization
Organization Name:AROUND THE CIRCLE MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:CONSTANCE
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:360-459-7222
Mailing Address - Street 1:2120 PACIFIC AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4753
Mailing Address - Country:US
Mailing Address - Phone:360-459-7222
Mailing Address - Fax:360-459-7223
Practice Address - Street 1:2120 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4753
Practice Address - Country:US
Practice Address - Phone:360-459-7222
Practice Address - Fax:360-459-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
WAMW00000262176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7109655Medicaid
WA8440893Medicaid