Provider Demographics
NPI:1922866219
Name:DAVIS COUNTY MIDWIVES LLC
Entity Type:Organization
Organization Name:DAVIS COUNTY MIDWIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPM LDEM
Authorized Official - Phone:470-236-8520
Mailing Address - Street 1:143 E 400 N
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4725
Mailing Address - Country:US
Mailing Address - Phone:470-236-8520
Mailing Address - Fax:
Practice Address - Street 1:143 E 400 N
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-4725
Practice Address - Country:US
Practice Address - Phone:470-236-8520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1386340156OtherMIDWIFE
UT138340156OtherMIDWIFE