Provider Demographics
NPI:1932407830
Name:BIRTH COTTAGE OF MILFORD
Entity Type:Organization
Organization Name:BIRTH COTTAGE OF MILFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FELDHUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, NHCM
Authorized Official - Phone:603-673-6010
Mailing Address - Street 1:4 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3724
Mailing Address - Country:US
Mailing Address - Phone:603-673-6010
Mailing Address - Fax:603-673-6014
Practice Address - Street 1:4 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3724
Practice Address - Country:US
Practice Address - Phone:603-673-6010
Practice Address - Fax:603-673-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1026176B00000X
NH1035176B00000X
NH032577-23363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty