Provider Demographics
NPI:1700680618
Name:BIRTHSTREAM MIDWIFERY SERVICE
Entity type:Organization
Organization Name:BIRTHSTREAM MIDWIFERY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:RUHIYYIH
Authorized Official - Last Name:KIENE
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:916-548-0672
Mailing Address - Street 1:10537 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2401
Mailing Address - Country:US
Mailing Address - Phone:916-548-0672
Mailing Address - Fax:916-610-1244
Practice Address - Street 1:10537 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-2401
Practice Address - Country:US
Practice Address - Phone:916-548-0672
Practice Address - Fax:916-610-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty