MEDICARE: MS. MEREDITH S HAMMIG CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	RN1566	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GR0081501	OTHER	CA	MEDI-CAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457373219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH S HAMMIG CNM

Provider Business Mailing Address
First Line	:	1779 DOMINICAN WAY
Second Line	:	STE B
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1526
Country	:	US
Telephone Number	:	831-479-4966
Fax Number	:	831-479-4967

Provider Business Practice Location Address
First Line	:	1779 DOMINICAN WAY
Second Line	:	STE B
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1526
Country	:	US
Telephone Number	:	831-479-4966
Fax Number	:	831-479-4967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/30/2012

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