Provider Demographics
NPI:1689119554
Name:SANTA CRUZ MIDWIVES INC
Entity Type:Organization
Organization Name:SANTA CRUZ MIDWIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:POTTEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:831-713-3854
Mailing Address - Street 1:530 OCEAN ST
Mailing Address - Street 2:STE A
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060
Mailing Address - Country:US
Mailing Address - Phone:831-332-3075
Mailing Address - Fax:831-295-6706
Practice Address - Street 1:530 OCEAN ST
Practice Address - Street 2:STE A
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060
Practice Address - Country:US
Practice Address - Phone:831-332-3075
Practice Address - Fax:831-295-6706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA241176B00000X
CA386176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty