Provider Demographics
NPI:1588020960
Name:SOUTHERN MINNESOTA MIDWIFERY INC
Entity type:Organization
Organization Name:SOUTHERN MINNESOTA MIDWIFERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:MIDWIFE
Authorized Official - Phone:612-414-7311
Mailing Address - Street 1:2318 ELIANNA DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3266
Mailing Address - Country:US
Mailing Address - Phone:612-414-7311
Mailing Address - Fax:612-392-7956
Practice Address - Street 1:1066 HIGHWAY 3 S
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-3088
Practice Address - Country:US
Practice Address - Phone:612-414-7311
Practice Address - Fax:612-392-7956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty