Provider Demographics
NPI:1639339625
Name:COMMUNITY MIDWIFERY SERVICE, LLC
Entity Type:Organization
Organization Name:COMMUNITY MIDWIFERY SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NETRI
Authorized Official - Middle Name:
Authorized Official - Last Name:TEREF-TA
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:405-447-9433
Mailing Address - Street 1:402 N FLOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6913
Mailing Address - Country:US
Mailing Address - Phone:405-447-9433
Mailing Address - Fax:405-447-9433
Practice Address - Street 1:402 N FLOOD AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6913
Practice Address - Country:US
Practice Address - Phone:405-447-9433
Practice Address - Fax:405-447-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing