Country Midwife

LBN: Country Midwife Llc
Country Midwife is an health care organization with primary practice located at 1638 Deckner Ave Suite A, Green Bay WI 54302-2640. The organization recently has 9 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Lactation Consultant, Nursing Service Providers / Maternal Newborn, Nursing Service Providers / Women's Health Care, Ambulatory, Other Service Providers / Midwife, Ambulatory Health Care Facilities / Birthing, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is the primary health care specialty. Country Midwife Llc can be contacted via phone (920) 562-9058, or through Vandenput, Stacy L via phone (920) 562-9058.

Contact Information

Primary practice address
1638 Deckner Ave Suite A Green Bay WI 54302-2640
Phone: (920) 562-9058
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vandenput, Stacy L LM, CPM
Phone: (920) 562-9058

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Nursing Service Providers / Home Health 163WH0200X
Nursing Service Providers / Lactation Consultant 163WL0100X
Nursing Service Providers / Maternal Newborn 163WM0102X
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X
Other Service Providers / Midwife 176B00000X 31-049 Wisconsin
Other Service Providers / Midwife 176B00000X
Other Service Providers / Midwife 176B00000X Wisconsin
Ambulatory Health Care Facilities / Birthing 261QB0400X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 107888-030 Wisconsin

Profile Details

NPI number 1255505525
LBN Legal business name Country Midwife Llc
DBA Doing business as Country Midwife
Authorized official Vandenput, Stacy L LM, CPM
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Nov 5th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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