Provider Demographics
NPI:1821131343
Name:SIERRA MIDWIFERY SERVICES, INC.
Entity Type:Organization
Organization Name:SIERRA MIDWIFERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHAUB
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:775-323-4956
Mailing Address - Street 1:PO BOX 20726
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89515-0726
Mailing Address - Country:US
Mailing Address - Phone:775-323-4956
Mailing Address - Fax:775-323-4956
Practice Address - Street 1:1724 C ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4874
Practice Address - Country:US
Practice Address - Phone:775-323-4956
Practice Address - Fax:775-323-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM0037176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty