Provider Demographics
NPI:1922296912
Name:COMMUNITY MIDWIFERY
Entity Type:Organization
Organization Name:COMMUNITY MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LDEM
Authorized Official - Phone:541-846-8954
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:WILLIAMS
Mailing Address - State:OR
Mailing Address - Zip Code:97544-0547
Mailing Address - Country:US
Mailing Address - Phone:541-846-8954
Mailing Address - Fax:541-846-8954
Practice Address - Street 1:2015 CAVES CAMP ROAD
Practice Address - Street 2:
Practice Address - City:WILLIAMS
Practice Address - State:OR
Practice Address - Zip Code:97544
Practice Address - Country:US
Practice Address - Phone:541-846-8954
Practice Address - Fax:541-846-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10118762175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty