Provider Demographics
NPI:1881163079
Name:REDDING MIDWIFERY GROUP
Entity type:Organization
Organization Name:REDDING MIDWIFERY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER, MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:BJORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-209-0603
Mailing Address - Street 1:6536 QUAIL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-7904
Mailing Address - Country:US
Mailing Address - Phone:530-209-0603
Mailing Address - Fax:
Practice Address - Street 1:1727 SOUTH ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1812
Practice Address - Country:US
Practice Address - Phone:530-646-8143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REDDING BIRTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing