Provider Demographics
NPI:1881621712
Name:DAYSPRING MIDWIFERY SERVICES
Entity type:Organization
Organization Name:DAYSPRING MIDWIFERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARTS
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:208-772-2823
Mailing Address - Street 1:1076 W HAYDEN AVE
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8793
Mailing Address - Country:US
Mailing Address - Phone:208-772-2823
Mailing Address - Fax:208-209-3120
Practice Address - Street 1:1076 W HAYDEN AVE
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-8793
Practice Address - Country:US
Practice Address - Phone:208-772-2823
Practice Address - Fax:208-209-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI99030003176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty