Provider Demographics
NPI:1881040137
Name:SACRAMENTO VALLEY MIDWIFERY CARE INC
Entity type:Organization
Organization Name:SACRAMENTO VALLEY MIDWIFERY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANEVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-292-8132
Mailing Address - Street 1:7233 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3314
Mailing Address - Country:US
Mailing Address - Phone:916-292-8132
Mailing Address - Fax:916-281-0825
Practice Address - Street 1:7233 PALM AVE
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3314
Practice Address - Country:US
Practice Address - Phone:916-292-8132
Practice Address - Fax:916-281-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty