Provider Demographics
NPI:1891310314
Name:HEART TO HEART MIDWIFERY & WOMEN'S HEALTH LLC
Entity Type:Organization
Organization Name:HEART TO HEART MIDWIFERY & WOMEN'S HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER/CNM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ULRICH
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MSN, APRN
Authorized Official - Phone:314-323-2277
Mailing Address - Street 1:1747 SMIZER STATION RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2784
Mailing Address - Country:US
Mailing Address - Phone:636-492-1633
Mailing Address - Fax:
Practice Address - Street 1:1747 SMIZER STATION RD STE 1
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2784
Practice Address - Country:US
Practice Address - Phone:636-492-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251E00000XAgenciesHome Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305S00000XManaged Care OrganizationsPoint of Service