Healthcare Provider Details

I. General information

NPI: 1295486520
Provider Name (Legal Business Name): HARVEST MIDWIFERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 COLDSPRINGS DR
HARVEST AL
35749-8295
US

IV. Provider business mailing address

233 COLDSPRINGS DR
HARVEST AL
35749-8295
US

V. Phone/Fax

Practice location:
  • Phone: 256-886-8271
  • Fax: 256-617-7092
Mailing address:
  • Phone: 256-886-8271
  • Fax: 256-617-7092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHLOE RAUM
Title or Position: OWNER
Credential: CPM
Phone: 256-886-8271