Provider Demographics
NPI:1013662105
Name:MONARCH MIDWIFERY
Entity Type:Organization
Organization Name:MONARCH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEACH-HART
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:503-395-4736
Mailing Address - Street 1:1409 FRANKLIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2860
Mailing Address - Country:US
Mailing Address - Phone:503-395-7436
Mailing Address - Fax:
Practice Address - Street 1:1409 FRANKLIN ST STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2860
Practice Address - Country:US
Practice Address - Phone:503-395-7436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing