Provider Demographics
NPI:1942360995
Name:WOMANCARE NURSE-MIDWIFERY PRACTICE, INC
Entity Type:Organization
Organization Name:WOMANCARE NURSE-MIDWIFERY PRACTICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OHLSCHWAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-493-1865
Mailing Address - Street 1:1025 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3930
Mailing Address - Country:US
Mailing Address - Phone:970-493-1865
Mailing Address - Fax:970-493-1586
Practice Address - Street 1:1025 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3930
Practice Address - Country:US
Practice Address - Phone:970-493-1865
Practice Address - Fax:970-493-1586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04004263Medicaid
CO04004263Medicaid