Provider Demographics
NPI:1467631416
Name:ROCKBRIDGE MIDWIFERY CARE, LLC
Entity Type:Organization
Organization Name:ROCKBRIDGE MIDWIFERY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:540-261-1410
Mailing Address - Street 1:170 W 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:VA
Mailing Address - Zip Code:24416-1312
Mailing Address - Country:US
Mailing Address - Phone:540-261-1410
Mailing Address - Fax:540-261-1409
Practice Address - Street 1:170 W 29TH ST
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:VA
Practice Address - Zip Code:24416-1312
Practice Address - Country:US
Practice Address - Phone:540-261-1410
Practice Address - Fax:540-261-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000008176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty