Provider Demographics
NPI:1639514953
Name:HEALING PASSAGES BIRTH & WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALING PASSAGES BIRTH & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:COSETTE
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ARNP, CNM
Authorized Official - Phone:515-266-6712
Mailing Address - Street 1:733 19TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1039
Mailing Address - Country:US
Mailing Address - Phone:515-266-6712
Mailing Address - Fax:515-244-2333
Practice Address - Street 1:733 19TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1039
Practice Address - Country:US
Practice Address - Phone:515-266-6712
Practice Address - Fax:515-244-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing