Provider Demographics
NPI:1659969913
Name:APPLE TREE MIDWIFERY & BIRTH CENTER PROF LLC
Entity Type:Organization
Organization Name:APPLE TREE MIDWIFERY & BIRTH CENTER PROF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEGATE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:605-858-1269
Mailing Address - Street 1:6015 MOUNT RUSHMORE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-8962
Mailing Address - Country:US
Mailing Address - Phone:605-858-1269
Mailing Address - Fax:
Practice Address - Street 1:6015 MOUNT RUSHMORE RD STE 3
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-8962
Practice Address - Country:US
Practice Address - Phone:605-858-1269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical