Provider Demographics
NPI:1972626984
Name:THE FARM MIDWIFERY CENTER
Entity type:Organization
Organization Name:THE FARM MIDWIFERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPM,LM
Authorized Official - Phone:931-964-2293
Mailing Address - Street 1:198 SECOND RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-0000
Mailing Address - Country:US
Mailing Address - Phone:931-964-2293
Mailing Address - Fax:931-964-2293
Practice Address - Street 1:198 SECOND RD
Practice Address - Street 2:
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483-0000
Practice Address - Country:US
Practice Address - Phone:931-964-2293
Practice Address - Fax:931-964-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN95020001176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty