Provider Demographics
NPI:1194251843
Name:ROSEBUD BIRTHING SERVICES
Entity type:Organization
Organization Name:ROSEBUD BIRTHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, RM
Authorized Official - Phone:719-641-2543
Mailing Address - Street 1:12624 PINE VALLEY CIR
Mailing Address - Street 2:
Mailing Address - City:FALCON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4019
Mailing Address - Country:US
Mailing Address - Phone:719-641-2543
Mailing Address - Fax:
Practice Address - Street 1:2130 ACADEMY CIR STE D
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1675
Practice Address - Country:US
Practice Address - Phone:719-641-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000175176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty