Provider Demographics
NPI:1700399458
Name:EMBRACE BIRTH CARE, LLC
Entity Type:Organization
Organization Name:EMBRACE BIRTH CARE, LLC
Other - Org Name:EMBRACE BIRTH CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:920-540-4806
Mailing Address - Street 1:123 W LINCOLN AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2133
Mailing Address - Country:US
Mailing Address - Phone:218-321-0956
Mailing Address - Fax:833-228-5592
Practice Address - Street 1:123 W LINCOLN AVE STE 6
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2133
Practice Address - Country:US
Practice Address - Phone:218-321-0956
Practice Address - Fax:833-228-5592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
166-49176B00000X
176B00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100068984Medicaid