Matushka Olga Michael Maternity Associates, Inc

LBN: Matushka Olga Michael Maternity Associates, Inc
Matushka Olga Michael Maternity Associates, Inc is an health care organization with primary practice located at 182 W State St , Eagle ID 83616-4959. The organization recently has only one registered license in Other Service Providers / Midwife, which is considered as the primary health care specialty. Matushka Olga Michael Maternity Associates, Inc can be contacted via phone (208) 639-2700, or through Northam, Kellie via phone (712) 828-0234.

Contact Information

Primary practice address
182 W State St Eagle ID 83616-4959
Phone: (208) 639-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Northam, Kellie Certified Nurse Midwife (CNM)
Phone: (712) 828-0234

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X CNM81-A Idaho
Other Service Providers / Midwife 176B00000X MID-86 Idaho

Profile Details

NPI number 1487140265
LBN Legal business name Matushka Olga Michael Maternity Associates, Inc
DBA Doing business as
Authorized official Northam, Kellie Certified Nurse Midwife (CNM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2018
Last updated Jul 5th, 2018 - about 7 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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