Provider Demographics
NPI:1952950677
Name:FULL CIRCLE MIDWIFERY SERVICE, INC.
Entity Type:Organization
Organization Name:FULL CIRCLE MIDWIFERY SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BOBIER
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:231-861-2234
Mailing Address - Street 1:4220 E LOOP RD
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:MI
Mailing Address - Zip Code:49421-7502
Mailing Address - Country:US
Mailing Address - Phone:231-861-2234
Mailing Address - Fax:517-579-0455
Practice Address - Street 1:4220 E LOOP RD
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:MI
Practice Address - Zip Code:49421-7502
Practice Address - Country:US
Practice Address - Phone:231-861-2234
Practice Address - Fax:517-579-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing