Provider Demographics
NPI:1467826867
Name:FERN CREEK MIDWIVES
Entity Type:Organization
Organization Name:FERN CREEK MIDWIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:406-260-5105
Mailing Address - Street 1:119 EAST IDAHO STREET
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4012
Mailing Address - Country:US
Mailing Address - Phone:406-260-5105
Mailing Address - Fax:406-758-0283
Practice Address - Street 1:119 EAST IDAHO STREET
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4012
Practice Address - Country:US
Practice Address - Phone:406-260-5105
Practice Address - Fax:406-758-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty