Provider Demographics
NPI:1427125780
Name:MIDWIFERY SERVICES INC
Entity type:Organization
Organization Name:MIDWIFERY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MIKELANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYWOOD BAERG
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:406-222-0084
Mailing Address - Street 1:36 CONVICT GRADE ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-222-0084
Mailing Address - Fax:406-222-5381
Practice Address - Street 1:36 CONVICT GRADE ROAD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047
Practice Address - Country:US
Practice Address - Phone:406-222-0084
Practice Address - Fax:406-222-5381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN11718176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0431327Medicaid