Provider Demographics
NPI:1437549516
Name:RIVER BIRCH MIDWIFERY
Entity Type:Organization
Organization Name:RIVER BIRCH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:616-334-2326
Mailing Address - Street 1:13 PEARL ST # 1
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2646
Mailing Address - Country:US
Mailing Address - Phone:616-334-2326
Mailing Address - Fax:
Practice Address - Street 1:13 PEARL ST # 1
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2646
Practice Address - Country:US
Practice Address - Phone:616-334-2326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty