Provider Demographics
NPI:1750773834
Name:CONFLUENCE MIDWIFERY CENTER, LLC
Entity type:Organization
Organization Name:CONFLUENCE MIDWIFERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-677-9998
Mailing Address - Street 1:3844 UTAH PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-4833
Mailing Address - Country:US
Mailing Address - Phone:314-677-9998
Mailing Address - Fax:
Practice Address - Street 1:3271 ROGER PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-3838
Practice Address - Country:US
Practice Address - Phone:314-677-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty