Provider Demographics
NPI:1477003994
Name:REDDING MIDWIFERY GROUP
Entity Type:Organization
Organization Name:REDDING MIDWIFERY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:BJORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:530-209-0603
Mailing Address - Street 1:1566 OLD ALTURAS RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-9653
Mailing Address - Country:US
Mailing Address - Phone:530-209-0603
Mailing Address - Fax:530-341-0323
Practice Address - Street 1:1727 SOUTH ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1812
Practice Address - Country:US
Practice Address - Phone:530-646-8143
Practice Address - Fax:530-341-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM465176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty