Provider Demographics
NPI:1982880258
Name:MIDWIFERY SERVICES INC.
Entity Type:Organization
Organization Name:MIDWIFERY SERVICES INC.
Other - Org Name:BOZEMAN BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:406-585-0752
Mailing Address - Street 1:508 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3461
Mailing Address - Country:US
Mailing Address - Phone:406-585-0752
Mailing Address - Fax:
Practice Address - Street 1:508 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3461
Practice Address - Country:US
Practice Address - Phone:406-585-0752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing