Provider Demographics
NPI:1063981819
Name:MIDWIVES OF CONCORD BIRTH CENTER LLC
Entity type:Organization
Organization Name:MIDWIVES OF CONCORD BIRTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:NHCM, CPM
Authorized Official - Phone:603-228-8710
Mailing Address - Street 1:254 N STATE ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3224
Mailing Address - Country:US
Mailing Address - Phone:603-228-8710
Mailing Address - Fax:603-228-8711
Practice Address - Street 1:254 N STATE ST UNIT D
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3224
Practice Address - Country:US
Practice Address - Phone:603-228-8710
Practice Address - Fax:603-228-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty